Organization
OUTREACH PROFESSIONAL SERVICES INC
Active
Other names
St Vincent Medical Group
Organization subpart
No
Provider details
NPI number
Authorized official
KELLY A MOWRER (CREDENTIALING SPECIALIST)
(216) 472-2741
Entity
Organization
Contact information
Practice address
6701 ROCKSIDE RD, SUITE 103, INDEPENDENCE, OH 44131-2358
(216) 369-2800
(216) 369-0456
Mailing address
7580 NORTHCLIFF AVE, SUITE 500, BROOKLYN, OH 44144-3270
(216) 472-2730
(216) 472-2740
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0251856
—
OH
Enumeration date
12/04/2007
Last updated
06/21/2013
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