Organization
OHIOGUIDESTONE
Active
Other names
Guidestone
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTY GOLDRICK (CREDENTIALING SPECIALIST)
(216) 820-3000
Entity
Organization
Contact information
Practice address
2173 N RIDGE RD E STE G, LORAIN, OH 44055-3400
(440) 260-8300
Mailing address
202 E BAGLEY RD, BEREA, OH 44017-2058
(440) 234-2006
(440) 234-8305
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
—
—
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
12/23/2024
Last updated
03/04/2025
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