Organization Name: | SOUTHWEST GENERAL HEALTH CENTER |
NPI Number: | 1164460531 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JOHN MILLS (VICE PRESIDENT) |
Mailing Address: | 15900 Snow Rd Brook Park |
State: | OH US |
Postal Code: | 441422859 |
Phone Number: | 4408168744 |
Fax Number: | 2162653609 |
NPI Enumeration Date: | 06/04/2006 |
NPI Last Update Date: | 06/05/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QU0200X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Urgent Care |
Taxonomy Definition: |