St Vincent Medical Group

LBN: Outreach Professional Services Inc
St Vincent Medical Group is an health care organization with primary practice located at 2351 E 22Nd St , Cleveland OH 44115-3111. The organization recently has 8 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neuromusculoskeletal Medicine, Sports Medicine, Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Rheumatology, Allopathic & Osteopathic Physicians / Sports Medicine, Allopathic & Osteopathic Physicians / Neurological Surgery, Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Podiatric Medicine & Surgery Service Providers / Podiatrist, Suppliers / Durable Medical Equipment & Medical Supplies. Suppliers / Durable Medical Equipment & Medical Supplies is the primary health care specialty. Outreach Professional Services Inc can be contacted via phone (216) 363-2730, or through Rusnaczyk, John via phone (216) 363-2730.

Contact Information

Primary practice address
2351 E 22Nd St Cleveland OH 44115-3111
Phone: (216) 363-2730
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Rusnaczyk, John
Phone: (216) 363-2730

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neuromusculoskeletal Medicine, Sports Medicine 204C00000X
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X
Allopathic & Osteopathic Physicians / Rheumatology 207RR0500X
Allopathic & Osteopathic Physicians / Sports Medicine 207RS0010X
Allopathic & Osteopathic Physicians / Neurological Surgery 207T00000X
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X

Profile Details

NPI number 1558478131
LBN Legal business name Outreach Professional Services Inc
DBA Doing business as St Vincent Medical Group
Authorized official Rusnaczyk, John
Entity Organization
Organization subpart 1 No
Enumeration date Aug 23rd, 2006
Last updated Aug 2nd, 2016 - about 10 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 1558478131 NPPES
Ohio MEDICAID 0251856

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