The Lorenzo G Jackson Foundation

LBN: The Lorenzo G Jackson Foundation
The Lorenzo G Jackson Foundation is an health care organization with primary practice located at 4756 E 174Th St , Cleveland OH 44128-3924. The organization recently has only one registered license in Managed Care Organizations / Health Maintenance Organization, which is considered as the primary health care specialty. The Lorenzo G Jackson Foundation can be contacted via phone (216) 799-8292, or through Johnson, Edward via phone (216) 799-8292.

Contact Information

Primary practice address
4756 E 174Th St Cleveland OH 44128-3924
Phone: (216) 799-8292
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Johnson, Edward M.S.
Phone: (216) 799-8292

Health care specialties

SpecialtyCodeLicense #State
Managed Care Organizations / Health Maintenance Organization 302R00000X

Profile Details

NPI number 1154555175
LBN Legal business name The Lorenzo G Jackson Foundation
DBA Doing business as
Authorized official Johnson, Edward M.S.
Entity Organization
Organization subpart 1 No
Enumeration date May 5th, 2009
Last updated May 5th, 2009 - about 15 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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