Signature Health

LBN: Signature Health Inc
Signature Health is an health care organization with primary practice located at 38876 Mentor Ave , Willoughby OH 44094. The organization recently has 2 registered licenses in different health care specialties including 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 (440) 953-9999, or through Sullivan, Kelley via phone (440) 953-9999.

Contact Information

Primary practice address
38876 Mentor Ave Willoughby OH 44094
Phone: (440) 953-9999
Fax: (440) 954-9501
Website:
Map and Directions
Authorized official contact:
Name: Sullivan, Kelley
Phone: (440) 953-9999

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Clinic Pharmacy 3336C0002X
Suppliers / Long Term Care Pharmacy 3336L0003X 021420150 Ohio

Profile Details

NPI number 1740502335
LBN Legal business name Signature Health Inc
DBA Doing business as Signature Health
Authorized official Sullivan, Kelley
Entity Organization
Organization subpart 1 No
Enumeration date Feb 23rd, 2010
Last updated Dec 29th, 2023 - about last year

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 1740502335 NPPES
Ohio MEDICAID 3042102
Ohio Other 2124315
Ohio MEDICAID 2325835

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