| Signature Health Inc. | |
|
38882 Mentor Ave Willoughby OH 44094-7875 | |
| (440) 953-9999 | |
| Not Available |
| Full Name | Signature Health Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 38882 Mentor Ave, Willoughby, Ohio |
| Authorized Official Name and Position | Jonathan 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. Mentor OH 44094 Ph: () - | Signature Health Inc. 38882 Mentor Ave Willoughby OH 44094-7875 Ph: (440) 953-9999 |
| NPI Number | 1093250169 |
|---|---|
| Provider Enumeration Date | 12/28/2016 |
| Last Update Date | 12/28/2016 |
| Medicare PECOS PAC ID | 8628970985 |
|---|---|
| Medicare Enrollment ID | O20170406001065 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093250169 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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