Marymount Primary Care Services, Inc. in Independence - Medical

Marymount Primary Care Services, Inc. - NPI 1902097751

Marymount Primary Care Services, Inc. is a Medical in Independence, Ohio. Marymount Primary Care Services, Inc. practices all healthcare services and medical treatments related to Medical. The NPI Number for Marymount Primary Care Services, Inc. is 1902097751. The last update date is 2008-05-28.

Marymount Primary Care Services, Inc.'s current location address is 6701 Rockside Rd, Independence, Ohio. You can contact this provider via phone number 2163692525 and fax number 2163692531. The mailing address for Marymount Primary Care Services, Inc. is 6701 Rockside Rd, Independence, Ohio. To know further, please read the information below!

Provider Profile Detail

Provider Organization Marymount Primary Care Services, Inc.
Address 6701 Rockside Rd, Independence, Ohio
Phone Number 2163692525
Fax Number 2163692531
Sole Proprietor --
Credentials --

Authorized Official

Title or Position PRACTICE M
Authorized Official Name Walchanowicz P Peter
Telephone Number 4405438855

NPI Number Detail

NPI Number 1902097751
Provider Enumeration Date 2007-08-07
Last Updated Date 2008-05-28

Provider Mailing Address Detail

Address 6701 Rockside Rd
City Independence
State Ohio (OH)
Post Code 441312358
Phone Number 2163692525
Fax Number 2163692531

Provider's Primary Taxonomy Detail

Speciality Medical
Taxonomy 363Am0700X
Definition:
A licensed healthcare professional who practices medicine under physician supervision focusing on medical diagnoses and treatment.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
564009 OH ANTHEM
2686106 OH --

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FAQs about Marymount Primary Care Services, Inc.

What is the unique provider identifier assigned to Marymount Primary Care Services, Inc.?

The Marymount Primary Care Services, Inc. has been issued the NPI (National Provider Identifier) 1902097751 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you please provide the complete physical location address of Marymount Primary Care Services, Inc.?

The Marymount Primary Care Services, Inc. is physically situated at 6701 Rockside Rd, in the city of Independence, state of OH, with the postal code 441312358.

What is the area of specialization for Marymount Primary Care Services, Inc., and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Marymount Primary Care Services, Inc. is Medical, and the corresponding taxonomy code that categorizes this area of expertise is 363Am0700X.

On what date did the Marymount Primary Care Services, Inc. receive its 1902097751 assignment from the Centers for Medicare & Medicaid Services?

The Marymount Primary Care Services, Inc. was assigned its 1902097751 by the Centers for Medicare & Medicaid Services on 2007-08-07.

When was the information pertaining to Marymount Primary Care Services, Inc. most recently updated or revised?

The details related to Marymount Primary Care Services, Inc., including its address, specialty, and other relevant information, were last updated or revised on 2008-05-28.

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