Organization
PRIMARY CARE OF NORTHERN OHIO, LIMITED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JILL M BARBER (EXECUTIVE DIRECTOR)
(440) 233-1066
Entity
Organization
Contact information
Practice address
205 W 20TH ST, LORAIN, OH 44052-3779
(440) 233-1066
(440) 246-4320
Mailing address
205 W 20TH ST, LORAIN, OH 44052-3779
(440) 233-1066
(440) 246-4320
Taxonomy
Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5281350
—
OH
Enumeration date
09/24/2007
Last updated
09/24/2007
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