Organization · Type 2 NPI

County of Lake Court House

State or Local Public Health Clinic/Center · Mentor, OH

NPI number 1598826216 Active

Practice location

5966 Heisley Rd
Mentor, OH 44060-1886

Fax (440) 350-2956

Specialties and licenses

Taxonomy	Code	License
State or Local Public Health Clinic/Center Primary	261QP0905X	None listed

State or Local Public Health Clinic/Center: Definition to come...

NPI record

NPI: 1598826216
Entity type: Organization (Type 2)
Issued: Dec 13, 2006
Last updated: Jan 22, 2019
Status: Active

Other names

<unavail>
Lake County General Health District · doing business as
Lake County General Health District · other name

Authorized official

Mr. Ron Graham, RD/RDN, LD, MPH
Health Comissioner
(440) 350-2554

Verify this record

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 1598826216

County of Lake Court House's National Provider Identifier is 1598826216, issued on Dec 13, 2006. The primary taxonomy on file is State or Local Public Health Clinic/Center (261QP0905X), and the practice location is in Mentor, OH. The record was last updated on Jan 22, 2019.