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Organization
NORTH COAST HEALTH
Active
Organization
NORTH COAST HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LEE E ELMORE (EXECUTIVE DIRECTOR)
(216) 228-7878
Entity
Organization
Contact information
Practice address
16110 DETROIT AVE, LAKEWOOD, OH 44107-3715
(216) 228-7878
(216) 529-5051
Mailing address
PO BOX 638347, CINCINNATI, OH 45263-8347
(440) 808-3700
(440) 808-3675
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
363LF0000X
Family Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0092765
—
OH
Enumeration date
10/18/2013
Last updated
01/08/2015
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