Organization · Type 2 NPI
Lorain County Health & Dentistry
Federally Qualified Health Center (FQHC) · Elyria, OH
NPI number
1720485659
Active
Practice location
105 Louden Ct
Elyria, OH 44035-8028
Fax (440) 240-1218
Mailing address
1205 Broadway
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 |
| Obstetrics & Gynecology Physician | 207V00000X | None listed |
| Pediatrics Physician | 208000000X | None listed |
| Federally Qualified Health Center (FQHC) Primary | 261QF0400X | None listed |
| Nurse Practitioner | 363L00000X | None listed |
| Pediatric Nurse Practitioner | 363LP0200X | None listed |
| Primary Care Nurse Practitioner | 363LP2300X | None listed |
Federally Qualified Health Center (FQHC): Definition to come...
2 other providers at this address
Other federally qualified health center (fqhc) providers in Elyria
About NPI 1720485659
Lorain County Health & Dentistry's National Provider Identifier is 1720485659, issued on Nov 20, 2014. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in Elyria, OH. The record was last updated on Nov 20, 2014.