| Marymount Primary Care Services, Inc | |
|
4400 Rockside Rd Suite 2100 Independence OH 44131-2109 | |
| (216) 573-1300 | |
| (216) 503-5005 |
| Full Name | Marymount Primary Care Services, Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 4400 Rockside Rd, Independence, Ohio |
| Authorized Official Name and Position | Peter P Walchanowicz (PRACTICE MANAGER) |
| Authorized Official Contact | 4405438855 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Marymount Primary Care Services, Inc 4400 Rockside Rd Suite 2100 Independence OH 44131-2109 Ph: (216) 573-1300 | Marymount Primary Care Services, Inc 4400 Rockside Rd Suite 2100 Independence OH 44131-2109 Ph: (216) 573-1300 |
| NPI Number | 1326265000 |
|---|---|
| Provider Enumeration Date | 04/20/2007 |
| Last Update Date | 05/27/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326265000 | NPI | - | NPPES |
| 2698559 | Medicaid | OH | |
| 000000564073 | Other | OH | ANTHEM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| 332B00000X | Durable Medical Equipment & Medical Supplies | (* (Not Available)) | Secondary |
August Health Services Incorporated Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4850 Hickory Nut Ln, Independence, OH 44131 Phone: 216-524-2521 Fax: 216-524-2521 | |
Cleveland Clinic Independence At Home Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 6801 Brecksville Rd, Suite 10, Independence, OH 44131 Phone: 216-444-9819 Fax: 216-520-1973 | |
Cleveland Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5001 Rockside Rd, Independence, OH 44131 Phone: 216-986-4830 | |
Kavanah Health Care Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 6100 Oak Tree Blvd, Independence, OH 44131 Phone: 310-933-5688 Fax: 310-616-5188 | |
The Cleveland Clinic Foundation Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5051 W Creek Rd, Ste 501, Independence, OH 44131 Phone: 216-444-2273 | |
The Cleveland Clinic Foundation Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5001 Rockside Rd, Independence, OH 44131 Phone: 216-444-2273 |