| Healthspan Integrated Care | |
|
5105 Som Center Rd Willoughby OH 44094-4203 | |
| (216) 265-8810 | |
| (216) 265-8890 |
| Full Name | Healthspan Integrated Care |
|---|---|
| Speciality | Internal Medicine |
| Location | 5105 Som Center Rd, Willoughby, Ohio |
| Authorized Official Name and Position | David A Nowiski (CFO) |
| Authorized Official Contact | 5136392722 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Healthspan Integrated Care 615 Elsinore Pl Cincinnati OH 45202-1459 Ph: (513) 639-2722 | Healthspan Integrated Care 5105 Som Center Rd Willoughby OH 44094-4203 Ph: (216) 265-8810 |
| NPI Number | 1649607433 |
|---|---|
| Provider Enumeration Date | 10/11/2013 |
| Last Update Date | 10/11/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649607433 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| 208000000X | Pediatrics | (* (Not Available)) | Secondary |
Signature Health Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 38882 Mentor Ave, Willoughby, OH 44094 Phone: 440-953-9999 | |
Signature Health, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 38876 Mentor Ave, Willoughby, OH 44094 Phone: 440-953-9999 | |
Diane M. Cornicelli, M.d. Inc, Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 36001 Euclid Ave, Suite C-19, Willoughby, OH 44094 Phone: 216-374-9664 | |
Lake Hospital System Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2747 Som Center Rd, Willoughby, OH 44094 Phone: 440-354-1899 Fax: 440-354-1089 | |
Kaiser Foundation Health Plan Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5105 Som Center Road, Willoughby, OH 44094 Phone: 216-265-8844 Fax: 216-265-8890 | |
Signature Health Medical Group, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 38882 Mentor Ave, Willoughby, OH 44094 Phone: 440-953-9999 Fax: 440-918-3839 | |
Signature Health, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 38876 Mentor Avenue, Willoughby, OH 44094 Phone: 440-953-9999 Fax: 440-918-3839 |