Clinic Physician Services Co. Llc

LBN: Clinic Physician Services Co. Llc
Clinic Physician Services Co. Llc is an health care organization with primary practice located at 6780 Mayfield Rd , Mayfield Hts OH 44124-2203. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Interventional Pain Medicine. Allopathic & Osteopathic Physicians / Anesthesiology is the primary health care specialty. Clinic Physician Services Co. Llc can be contacted via phone (440) 312-4500, or through Longville, Tim via phone (216) 636-7416.

Contact Information

Primary practice address
6780 Mayfield Rd Mayfield Hts OH 44124-2203
Fax:
Website:
Authorized official contact:
Name: Longville, Tim

Profile Details

NPI number 1235127408
LBN Legal business name Clinic Physician Services Co. Llc
DBA Doing business as
Authorized official Longville, Tim
Entity Organization
Organization subpart 1 No
Enumeration date Oct 11th, 2005
Last updated Feb 23rd, 2022 - about 3 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 1235127408 NPPES
Ohio MEDICAID 2178290
Ohio MEDICAID 2175882
Ohio MEDICAID 2178272
Ohio MEDICAID 2475165
Ohio MEDICAID 2545811
Ohio MEDICAID 2173615
Ohio MEDICAID 2173651
Ohio MEDICAID 2355099
Ohio Other CG8024
Ohio MEDICAID 2173660

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