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 12000 Mccracken Rd Suite 450, Garfield Heights OH 44125-2964. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as the primary health care specialty. Marymount Primary Care Services, Inc can be contacted via phone (216) 663-7355, or through Walchanowicz, Peter P via phone (440) 543-8855.

Contact Information

Primary practice address
12000 Mccracken Rd Suite 450 Garfield Heights OH 44125-2964
Phone: (216) 663-7355
Fax: (216) 663-7193
Website:
Map and Directions
Authorized official contact:
Name: Walchanowicz, Peter P
Phone: (440) 543-8855

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X

Profile Details

NPI number 1639361074
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 9th, 2007
Last updated May 27th, 2008 - about 17 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 1639361074 NPPES
Ohio Other 000000564654 ANTHEM
Ohio MEDICAID 2087058 ANTHEM

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