| Beacon Health | |
|
9220 Mentor Ave Mentor OH 44060-6412 | |
| (440) 354-9924 | |
| (440) 205-1009 |
| Full Name | Beacon Health |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 9220 Mentor Ave, Mentor, Ohio |
| Authorized Official Name and Position | Kathryn J Popp (CFO) |
| Authorized Official Contact | 4406393509 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Beacon Health 9220 Mentor Avenue Mentor OH 44060 Ph: (440) 354-9924 | Beacon Health 9220 Mentor Ave Mentor OH 44060-6412 Ph: (440) 354-9924 |
| NPI Number | 1750643649 |
|---|---|
| Provider Enumeration Date | 06/15/2012 |
| Last Update Date | 11/07/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750643649 | NPI | - | NPPES |
| 2890000 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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