NPI 1093183204 SHADYSIDE CLINIC, LLC BELMONT OH. Find Phone Number, Address, Contact details of medical healthcare providers | NPI Number Lookup

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Shadyside Clinic, Llc - NPI: 1093183204

National Provider Identifier (NPI) is a 10-digit identification number which is issued to health care providers by the Centers for Medicare and Medicaid Services (CMS) in the United States(US). The NPI is introduced to replace of UPIN (unique provider identification number) and now NPI is the only required identifier for Medicare services, and NPI is also used by commercial healthcare insurers and by other payers.

Organization Name: SHADYSIDE CLINIC, LLC
NPI Number: 1093183204
Entity Type Code: Organizational (2)
Authorized Official Name: LINDSAY TWAROG
(NURSE PRACTITIONER AND OWNER)
Mailing Address: 3948 Central Ave
Shadyside
State: OH US
Postal Code: 439471310
Phone Number: 7402982475
Fax Number:
NPI Enumeration Date: 09/03/2015
NPI Last Update Date: 09/03/2015
Replacement NPI: 0
NPI Deactivation Date:
NPI Reactivation Date:

Taxonomy Information:

Healthcare Provider Taxonomy: 261QP2300X
License Number: 16718NP
Healthcare Provider Taxonomy:
(Secondary)
Y
State: OH
Taxonomy Type: Ambulatory Health Care Facilities
Taxonomy Classification: Clinic/Center
Taxonomy Specialization: Primary Care
Taxonomy Definition:


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