Marymount Special Services

LBN: Marymount Special Services
Marymount Special Services is an health care organization with primary practice located at 12300 Mccracken Rd , Garfield Hts OH 44125-2914. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as the primary health care specialty. Marymount Special Services can be contacted via phone (216) 587-8867, or through Khoury, Wael via phone (216) 475-5370.

Contact Information

Primary practice address
12300 Mccracken Rd Garfield Hts OH 44125-2914
Phone: (216) 587-8867
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Khoury, Wael Doctor of Medicine (MD)
Phone: (216) 475-5370

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X

Profile Details

NPI number 1518003284
LBN Legal business name Marymount Special Services
DBA Doing business as
Authorized official Khoury, Wael Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 30th, 2007
Last updated Aug 22nd, 2020 - about 4 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 1518003284 NPPES
Ohio MEDICAID 0509702

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