NPI 1770857864

Ohioguidestone

Organisation Health Maintenance Organization Cleveland, OH

Practice location

Address: 3500 Carnegie Ave, Cleveland, OH 44115-2641
Phone: (440) 234-2006
Mailing address: 434 Eastland Rd., Berea, OH 44017-2058

Authorised official

Name: Benjamin Kearney
Title: Cheif Clinical Officer
Phone: (440) 260-8304

Registered specialties

Health Maintenance Organization Primary

Managed Care Organizations Taxonomy 302R00000X Licence S.1000412 (OH)

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Registry record

NPI: 1770857864
Entity type: Organization
NPI issued: 7 Mar 2012
Record last updated: 15 Aug 2017

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.