| Signature Health, Inc | |
|
1400 W 25th St Fl 2 Cleveland OH 44113-3151 | |
| (168) 316-4662 | |
| (440) 918-3839 |
| Full Name | Signature Health, Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1400 W 25th St Fl 2, Cleveland, Ohio |
| Authorized Official Name and Position | Jonathan Albert Lee (CEO) |
| Authorized Official Contact | 4409539999 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Signature Health, Inc 38882 Mentor Ave Willoughby OH 44094-7875 Ph: (440) 953-9999 | Signature Health, Inc 1400 W 25th St Fl 2 Cleveland OH 44113-3151 Ph: (168) 316-4662 |
| NPI Number | 1184110769 |
|---|---|
| Provider Enumeration Date | 07/06/2018 |
| Last Update Date | 07/06/2018 |
| Medicare PECOS PAC ID | 8628970985 |
|---|---|
| Medicare Enrollment ID | O20180829001605 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184110769 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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