Lake County Free Medical Clinic in Painesville - Voluntary Or Charitable
Lake County Free Medical Clinic - NPI 1730397282
Lake County Free Medical Clinic is a Voluntary Or Charitable in Painesville, Ohio. Lake County Free Medical Clinic practices all healthcare services and medical treatments related to Voluntary Or Charitable. The NPI Number for Lake County Free Medical Clinic is 1730397282. The last update date is 2007-12-11.
Lake County Free Medical Clinic's current location address is 54 S. State St., Painesville, Ohio. You can contact this provider via phone number 4403528686 and fax number 4403528107. The mailing address for Lake County Free Medical Clinic is 54 S. State St., Painesville, Ohio. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Lake County Free Medical Clinic |
|---|---|
| Address | 54 S. State St., Painesville, Ohio |
| Phone Number | 4403528686 |
| Fax Number | 4403528107 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | EXECUTIVE |
|---|---|
| Authorized Official Name | Fetzer K Annatonia |
| Credentials | MPH |
| Telephone Number | 4403528686 |
NPI Number Detail
| NPI Number | 1730397282 |
|---|---|
| Provider Enumeration Date | 2007-05-18 |
| Last Updated Date | 2007-12-11 |
Provider Mailing Address Detail
| Address | 54 S. State St. |
|---|---|
| City | Painesville |
| State | Ohio (OH) |
| Post Code | 44077 |
| Phone Number | 4403528686 |
| Fax Number | 4403528107 |
Provider's Primary Taxonomy Detail
| Speciality | Voluntary Or Charitable |
|---|---|
| Taxonomy | 251V00000X |
|
Definition: Nonprofit health or human services agency supported by charitable donations and volunteers. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 716416 | OH | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Lake County Free Medical Clinic by the Centers for Medicare & Medicaid Services (CMS)?
The Lake County Free Medical Clinic has been assigned the NPI (National Provider Identifier) 1730397282. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Where is the Lake County Free Medical Clinic located?
The Lake County Free Medical Clinic is located at 54 S. State St., Painesville, OH 44077.
What is Lake County Free Medical Clinic's area of expertise and its corresponding taxonomy classification?
The Lake County Free Medical Clinic's field of specialization is Voluntary Or Charitable, and it falls under the taxonomy code 251V00000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Lake County Free Medical Clinic receive the assignment of its 1730397282 from the Centers for Medicare & Medicaid Services?
The Lake County Free Medical Clinic was issued its 1730397282 by the Centers for Medicare & Medicaid Services on 2007-05-18.
When was the information related to Lake County Free Medical Clinic most recently updated or refreshed?
The details pertaining to the Lake County Free Medical Clinic, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-12-11.