| Firelands Regional Medical Center | |
|
6150 Park Square Dr Ste B Lorain OH 44053-4153 | |
| (440) 984-3882 | |
| (440) 984-3883 |
| Full Name | Firelands Regional Medical Center |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 6150 Park Square Dr Ste B, Lorain, Ohio |
| Authorized Official Name and Position | Daniel J Moncher (EXECUTIVE VICE PRESIDENT & CFO) |
| Authorized Official Contact | 4195577793 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Firelands Regional Medical Center 6150 Park Square Dr Ste B Lorain OH 44053-4153 Ph: (440) 984-3882 | Firelands Regional Medical Center 6150 Park Square Dr Ste B Lorain OH 44053-4153 Ph: (440) 984-3882 |
| NPI Number | 1386878304 |
|---|---|
| Provider Enumeration Date | 05/05/2009 |
| Last Update Date | 09/24/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386878304 | NPI | - | NPPES |
| 3293725 | Medicaid | OH |
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