| Lorain County Health & Dentistry | |
|
3745 Grove Ave Lorain OH 44055 | |
| (440) 240-1655 | |
| (440) 245-1218 |
| Full Name | Lorain County Health & Dentistry |
|---|---|
| Speciality | Clinic/Center |
| Location | 3745 Grove Ave, Lorain, Ohio |
| Authorized Official Name and Position | Stephanie Wiersma (PRESIDENT & CEO) |
| Authorized Official Contact | 4402331059 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lorain County Health & Dentistry 1205 Broadway Lorain OH 44052-3409 Ph: (440) 240-1655 | Lorain County Health & Dentistry 3745 Grove Ave Lorain OH 44055 Ph: (440) 240-1655 |
| NPI Number | 1598930877 |
|---|---|
| Provider Enumeration Date | 04/28/2008 |
| Last Update Date | 09/30/2013 |
| Medicare PECOS PAC ID | 9234047853 |
|---|---|
| Medicare Enrollment ID | O20030217000008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598930877 | NPI | - | NPPES |
| 2500841 | Medicaid | OH | |
| CJ8620 | Other | OH | MEDICARE RAILROAD |
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Lorain County Health & Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1205 Broadway, Lorain, OH 44052 Phone: 440-240-1655 Fax: 440-245-1218 | |
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