Internal Medicine

LBN: Southwest General Medical Group, Inc.
Internal Medicine is an health care organization with primary practice located at 4065 Center Rd. #210, Cleveland OH 44212. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as the primary health care specialty. Southwest General Medical Group, Inc. can be contacted via phone (330) 558-0050, or through Wagner, Heather via phone (440) 816-4906.

Contact Information

Primary practice address
4065 Center Rd. #210 Cleveland OH 44212
Phone: (330) 558-0050
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Wagner, Heather
Phone: (440) 816-4906

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X

Profile Details

NPI number 1588713325
LBN Legal business name Southwest General Medical Group, Inc.
DBA Doing business as Internal Medicine
Authorized official Wagner, Heather
Entity Organization
Organization subpart 1 Yes
Enumeration date Jan 10th, 2007
Last updated Feb 28th, 2019 - about 7 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 1588713325 NPPES
Ohio MEDICAID 2238206

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