| Kaiser Foundation Health Plan | |
|
5105 Som Center Road Willoughby OH 44094 | |
| (216) 265-8844 | |
| (216) 265-8890 |
| Full Name | Kaiser Foundation Health Plan |
|---|---|
| Speciality | Clinic/center |
| Location | 5105 Som Center Road, Willoughby, Ohio |
| Authorized Official Name and Position | Craig Faerber (VP CFO) |
| Authorized Official Contact | 2162658844 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kaiser Foundation Health Plan 12301 Snow Road Parma OH 44130 Ph: (216) 265-8844 | Kaiser Foundation Health Plan 5105 Som Center Road Willoughby OH 44094 Ph: (216) 265-8844 |
| NPI Number | 1174681183 |
|---|---|
| Provider Enumeration Date | 12/04/2006 |
| Last Update Date | 07/19/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174681183 | NPI | - | NPPES |
| 0211372 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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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 | |
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 |