Marymount Primary Care Services, Inc
LBN: Marymount Primary Care Services, Inc
Marymount Primary Care Services, Inc is an health care organization with primary practice located at 17747 Chillicothe Rd Suite 100, Chagrin Falls OH 44023-4739. The organization recently has 5 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Occupational Medicine, Allopathic & Osteopathic Physicians / Neurology, Suppliers / Durable Medical Equipment & Medical Supplies. Allopathic & Osteopathic Physicians / Occupational Medicine is the primary health care specialty.
Marymount Primary Care Services, Inc can be contacted via phone (440) 543-8855, or through Walchanowicz, Peter P via phone (440) 543-8855.
Contact Information
Primary practice address
17747 Chillicothe Rd Suite 100
Chagrin Falls OH 44023-4739
Phone: (440) 543-8855
Fax: (440) 543-2470
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | ||
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | ||
| Allopathic & Osteopathic Physicians / Occupational Medicine | 2083X0100X | ||
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | ||
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X |
Profile Details
| NPI number | 1023089653 |
|---|---|
| LBN Legal business name | Marymount Primary Care Services, Inc |
| DBA Doing business as | |
| Authorized official | Walchanowicz, Peter P |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jan 31st, 2006 |
| Last updated | Jul 28th, 2008 - about 16 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1023089653 | NPPES |
| Ohio | Other | 000000028432 | ANTHEM |
| Ohio | MEDICAID | 0139719 | ANTHEM |
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