# HEALTHSPAN INTEGRATED CARE

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1003242850
- **Authorized official:** MR. DAVID A NOWISKI (CFO)
- **Authorized official phone:** (513) 639-2722

## Contact information

- **Practice address:** 12301 SNOW RD, PARMA, OH 44130-1002
- **Practice address phone:** (216) 265-8810
- **Practice address fax:** (216) 265-8890
- **Mailing address:** 615 ELSINORE PL, CINCINNATI, OH 45202-1459
- **Mailing address phone:** (513) 639-2722

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | — | OH | Yes |

## Other

- **Enumeration date:** 09/24/2013
- **Last updated:** 09/02/2015