Free Clinic Of Lake County

LBN: Lake County Free Medical Clinic
Free Clinic Of Lake County is an health care organization with primary practice located at 54 S State St Suite 302, Painesville OH 44077-3445. The organization recently has only one registered license in Agencies / Voluntary or Charitable, which is considered as the primary health care specialty. Lake County Free Medical Clinic can be contacted via phone (440) 352-8686, or through Fetzer, Annatonia K via phone (440) 352-8686.

Contact Information

Primary practice address
54 S State St Suite 302 Painesville OH 44077-3445
Phone: (440) 352-8686
Fax: (440) 352-8107
Website:
Map and Directions
Authorized official contact:
Name: Fetzer, Annatonia K MPH
Phone: (440) 352-8686

Health care specialties

SpecialtyCodeLicense #State
Agencies / Voluntary or Charitable 251V00000X

Profile Details

NPI number 1730397282
LBN Legal business name Lake County Free Medical Clinic
DBA Doing business as Free Clinic Of Lake County
Authorized official Fetzer, Annatonia K MPH
Entity Organization
Organization subpart 1 No
Enumeration date May 18th, 2007
Last updated Dec 11th, 2007 - about 19 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 1730397282 NPPES
Ohio MEDICAID 0716416

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