# PRIMARY CARE OF NORTHERN OHIO, LIMITED

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

## Provider details

- **NPI number:** 1043406077
- **Authorized official:** MRS. JILL M BARBER (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (440) 233-1066

## Contact information

- **Practice address:** 205 W 20TH ST, LORAIN, OH 44052-3779
- **Practice address phone:** (440) 233-1066
- **Practice address fax:** (440) 246-4320
- **Mailing address:** 205 W 20TH ST, LORAIN, OH 44052-3779
- **Mailing address phone:** (440) 233-1066
- **Mailing address fax:** (440) 246-4320

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 302F00000X | Exclusive Provider Organization | — | NULL | Yes |

## Other

- **Enumeration date:** 09/24/2007
- **Last updated:** 09/24/2007

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 5281350 | — | OH |