St Vincent Medical Group
LBN: Outreach Professional Services Inc
St Vincent Medical Group is an health care organization with primary practice located at 2351 E 22Nd St , Cleveland OH 44115-3111. The organization recently has 9 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Geriatric Medicine, Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Rheumatology, Allopathic & Osteopathic Physicians / Medical Oncology, Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Psychiatry. Allopathic & Osteopathic Physicians / Internal Medicine is the primary health care specialty.
Outreach Professional Services Inc can be contacted via phone (216) 363-2730, or through Rusnaczyk, John via phone (216) 363-7718.
Contact Information
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | ||
Allopathic & Osteopathic Physicians / Geriatric Medicine | 207QG0300X | ||
Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | ||
Allopathic & Osteopathic Physicians / Rheumatology | 207RR0500X | ||
Allopathic & Osteopathic Physicians / Medical Oncology | 207RX0202X | ||
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | ||
Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | ||
Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | ||
Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X |
Profile Details
NPI number | 1134119829 |
---|---|
LBN Legal business name | Outreach Professional Services Inc |
DBA Doing business as | St Vincent Medical Group |
Authorized official | Rusnaczyk, John |
Entity | Organization |
Organization subpart 1 | No |
Enumeration date | Oct 25th, 2005 |
Last updated | Jan 13th, 2021 - about 3 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 | 1134119829 | NPPES |
Ohio | MEDICAID | 0251856 |
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