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
Phone: (440) 312-4500
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | ||
| Allopathic & Osteopathic Physicians / Interventional Pain Medicine | 208VP0014X |
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 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 | 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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