Signature Health Inc

LBN: Signature Health Inc
Signature Health Inc is an health care organization with primary practice located at 14701 Detroit Ave Fl 6 , Lakewood OH 44107-4115. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Clinic Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Long Term Care Pharmacy is the primary health care specialty. Signature Health Inc can be contacted via phone (216) 737-0450, or through Sullivan Dragar, Kelley via phone (216) 737-0450.

Contact Information

Primary practice address
14701 Detroit Ave Fl 6 Lakewood OH 44107-4115
Phone: (216) 737-0450
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Sullivan Dragar, Kelley
Phone: (216) 737-0450

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Clinic Pharmacy 3336C0002X
Suppliers / Long Term Care Pharmacy 3336L0003X

Profile Details

NPI number 1093138299
LBN Legal business name Signature Health Inc
DBA Doing business as
Authorized official Sullivan Dragar, Kelley
Entity Organization
Organization subpart 1 No
Enumeration date Jan 24th, 2014
Last updated Nov 7th, 2022 - about 2 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 1093138299 NPPES
Ohio MEDICAID 0108205

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