| Organization Name: | LORAIN COUNTY HEALTH & DENTISTRY |
| NPI Number: | 1083872220 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | STEPHANIE WIERSMA (PRESIDENT AND CEO) |
| Mailing Address: | 3745 Grove Ave Lorain |
| State: | OH US |
| Postal Code: | 440552734 |
| Phone Number: | 4402401655 |
| Fax Number: | 4402451218 |
| NPI Enumeration Date: | 05/23/2008 |
| NPI Last Update Date: | 06/21/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QF0400X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Federally Qualified Health Center (FQHC) |
| Taxonomy Definition: | |