South Russell Family Practice, Inc.

LBN: South Russell Family Practice, Inc.
South Russell Family Practice, Inc. is an health care organization with primary practice located at 5192 Chillicothe Rd Suite 101, Chagrin Falls OH 44022-4196. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. South Russell Family Practice, Inc. can be contacted via phone (440) 338-3366, or through Rood, Mark N via phone (440) 338-3366.

Contact Information

Primary practice address
5192 Chillicothe Rd Suite 101 Chagrin Falls OH 44022-4196
Phone: (440) 338-3366
Fax: (440) 338-3332
Website:
Map and Directions
Authorized official contact:
Name: Rood, Mark N Doctor of Medicine (MD)
Phone: (440) 338-3366

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X

Profile Details

NPI number 1184732067
LBN Legal business name South Russell Family Practice, Inc.
DBA Doing business as
Authorized official Rood, Mark N Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 29th, 2006
Last updated Aug 22nd, 2020 - about 4 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 1184732067 NPPES
Ohio MEDICAID 0591515

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