Cuyahoga Physician Network

LBN: Outreach Professional Service, Inc.
Cuyahoga Physician Network is an health care organization with primary practice located at 2322 E 22Nd St Suite 310, Cleveland OH 44115-3176. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism, which is considered as the primary health care specialty. Outreach Professional Service, Inc. can be contacted via phone (216) 363-2732, or through Blaylock, Misty A via phone (440) 892-6406.

Contact Information

Primary practice address
2322 E 22Nd St Suite 310 Cleveland OH 44115-3176
Phone: (216) 363-2732
Fax: (216) 363-3304
Website:
Map and Directions
Authorized official contact:
Name: Blaylock, Misty A
Phone: (440) 892-6406

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism 207RE0101X

Profile Details

NPI number 1356650493
LBN Legal business name Outreach Professional Service, Inc.
DBA Doing business as Cuyahoga Physician Network
Authorized official Blaylock, Misty A
Entity Organization
Organization subpart 1 No
Enumeration date Oct 6th, 2010
Last updated Oct 6th, 2010 - about 15 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 1356650493 NPPES
Ohio MEDICAID 0251856

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