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:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1184732067 | NPPES |
Ohio | MEDICAID | 0591515 |
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