Organization · Type 2 NPI
Lorain County Health & Dentistry
Federally Qualified Health Center (FQHC) · Lorain, OH
NPI number
1023564143
Active
Practice location
6150 Park Square Dr.
Lorain, OH 44053-4153
Fax (440) 240-1655
Mailing address
1205 Broadway Ave
Lorain, OH 44052-3409
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Medicine Physician | 207Q00000X | None listed |
| Adult Medicine Physician | 207QA0505X | None listed |
| Internal Medicine Physician | 207R00000X | None listed |
| Federally Qualified Health Center (FQHC) Primary | 261QF0400X | None listed |
| Nurse Practitioner | 363L00000X | None listed |
| Adult Health Nurse Practitioner | 363LA2200X | None listed |
| Family Nurse Practitioner | 363LF0000X | None listed |
| Primary Care Nurse Practitioner | 363LP2300X | None listed |
Federally Qualified Health Center (FQHC): Definition to come...
4 other providers at this address
Other federally qualified health center (fqhc) providers in Lorain
About NPI 1023564143
Lorain County Health & Dentistry's National Provider Identifier is 1023564143, issued on Aug 29, 2016. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in Lorain, OH. The record was last updated on Aug 14, 2019.