Cuyahoga Physician Network
LBN: Outreach Professional Services Inc
Cuyahoga Physician Network is an health care organization with primary practice located at 11201 Shaker Blvd Suite 102, Cleveland OH 44104. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Geriatric Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is the primary health care specialty.
Outreach Professional Services Inc can be contacted via phone (216) 721-6900, or through Blaylock, Misty A via phone (440) 892-6406.
Contact Information
Primary practice address
11201 Shaker Blvd Suite 102
Cleveland OH 44104
Phone: (216) 721-6900
Fax: (216) 368-7905
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | ||
| Allopathic & Osteopathic Physicians / Geriatric Medicine | 207RG0300X |
Profile Details
| NPI number | 1104008879 |
|---|---|
| LBN Legal business name | Outreach Professional Services Inc |
| DBA Doing business as | Cuyahoga Physician Network |
| Authorized official | Blaylock, Misty A |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Dec 4th, 2007 |
| Last updated | Jan 12th, 2010 - about 14 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 | 1104008879 | NPPES |
| Ohio | MEDICAID | 0251856 |
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