Cuyahoga Physician Network

LBN: Outreach Professional Services Inc
Cuyahoga Physician Network is an health care organization with primary practice located at 4415 Euclid Ave Suite 110, Cleveland OH 44103. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as the primary health care specialty. Outreach Professional Services Inc can be contacted via phone (216) 231-5612, or through Blaylock, Misty A via phone (440) 892-6406.

Contact Information

Primary practice address
4415 Euclid Ave Suite 110 Cleveland OH 44103
Phone: (216) 231-5612
Fax: (216) 721-5534
Website:
Map and Directions
Authorized official contact:
Name: Blaylock, Misty A
Phone: (440) 892-6406

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X

Profile Details

NPI number 1396927067
LBN Legal business name Outreach Professional Services Inc
DBA Doing business as Cuyahoga Physician Network
Authorized official Blaylock, Misty A
Entity Organization
Organization subpart 1 No
Enumeration date Dec 4th, 2007
Last updated Jan 12th, 2010 - about 16 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 1396927067 NPPES
Ohio MEDICAID 0251856
Ohio MEDICAID 1563848

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