Organization · Type 2 NPI

Firelands Regional Medical Center

Mental Health Clinic/Center (Including Community Mental Health Center) · Lorain, OH

NPI number 1386878304 Active

Practice location

6150 Park Square Dr Ste B
Lorain, OH 44053-4153

Fax (440) 984-3883

Specialties and licenses

Taxonomy	Code	License
Mental Health Clinic/Center (Including Community Mental Health Center) Primary	261QM0801X	None listed
Adult Mental Health Clinic/Center	261QM0850X	None listed
Adolescent and Children Mental Health Clinic/Center	261QM0855X	None listed

Mental Health Clinic/Center (Including Community Mental Health Center): Definition to come...

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NPI record

NPI: 1386878304
Entity type: Organization (Type 2)
Issued: May 5, 2009
Last updated: Sep 24, 2019
Status: Active

Other names

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Firelands Counseling & Recovery Services · doing business as
Firelands Counseling & Recovery Services · doing business as

Authorized official

Mr. Daniel J Moncher
Executive Vice President & CFO
(419) 557-7793

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1386878304

Firelands Regional Medical Center's National Provider Identifier is 1386878304, issued on May 5, 2009. The primary taxonomy on file is Mental Health Clinic/Center (Including Community Mental Health Center) (261QM0801X), and the practice location is in Lorain, OH. The record was last updated on Sep 24, 2019.