| August Health Services Incorporated | |
|
4850 Hickory Nut Ln Independence OH 44131-4640 | |
| (216) 524-2521 | |
| (216) 524-2521 |
| Full Name | August Health Services Incorporated |
|---|---|
| Speciality | Family Medicine - Geriatric Medicine |
| Location | 4850 Hickory Nut Ln, Independence, Ohio |
| Authorized Official Name and Position | Donna L. Lanza (VICE PRESIDENT-MEDICAL OPERATIONS) |
| Authorized Official Contact | 4405821484 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| August Health Services Incorporated 12744 State Road North Royalton OH 44133 Ph: (440) 582-1484 | August Health Services Incorporated 4850 Hickory Nut Ln Independence OH 44131-4640 Ph: (216) 524-2521 |
| NPI Number | 1184768616 |
|---|---|
| Provider Enumeration Date | 02/17/2007 |
| Last Update Date | 02/11/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184768616 | NPI | - | NPPES |
| 2379484 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QG0300X | Family Medicine - Geriatric Medicine | (* (Not Available)) | Primary |
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United Wound & Vascular Institute Ohio Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 6100 Oak Tree Blvd Ste 200, Independence, OH 44131 Phone: 888-402-0202 Fax: 888-860-2960 |