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 2001 E Royalton Rd , Broadview Heights OH 44147-2811. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Marymount Primary Care Services, Inc. can be contacted via phone (440) 717-6100, or through Walchanowicz, Peter P via phone (440) 543-8855.

Contact Information

Primary practice address
2001 E Royalton Rd Broadview Heights OH 44147-2811
Phone: (440) 717-6100
Fax: (440) 546-1382
Website:
Map and Directions
Authorized official contact:
Name: Walchanowicz, Peter P
Phone: (440) 543-8855

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X

Profile Details

NPI number 1063606440
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 Aug 29th, 2007
Last updated May 27th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1063606440 NPPES
Ohio MEDICAID 2082160
Ohio Other 000000564045

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