Organization
CLEVELAND MEDICAL MANAGEMENT LLC
Active
Other names
Willard Medical and Diagnostics - AMOH
Organization subpart
No
Provider details
NPI number
Authorized official
CORBY JOHNSON (ADMINISTRATOR)
(800) 423-6078
Entity
Organization
Contact information
Practice address
117 BLOSSOM CENTRE BLVD, WILLARD, OH 44890-9317
(419) 561-4552
(513) 712-4573
Mailing address
117 BLOSSOM CENTRE BLVD, WILLARD, OH 44890-9317
(419) 561-4552
(513) 712-4573
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Enumeration date
05/11/2026
Last updated
05/11/2026
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