St Judes Medical Clinic

LBN: St Judes Medical Clinic
St Judes Medical Clinic is an health care organization with primary practice located at 7211 Broadway , Cleveland OH 44105. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as the primary health care specialty. St Judes Medical Clinic can be contacted via phone (216) 271-1947, or through Enrique, Nelida R via phone (216) 271-1947.

Contact Information

Primary practice address
7211 Broadway Cleveland OH 44105
Phone: (216) 271-1947
Fax: (216) 271-0106
Website:
Map and Directions
Authorized official contact:
Name: Enrique, Nelida R Doctor of Medicine (MD)
Phone: (216) 271-1947

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X 35033404 Ohio

Profile Details

NPI number 1609884592
LBN Legal business name St Judes Medical Clinic
DBA Doing business as
Authorized official Enrique, Nelida R Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 4th, 2006
Last updated Feb 22nd, 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 1609884592 NPPES
Ohio MEDICAID 0325866

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