| Organization Name: | PRIMARY CARE HEALTHWORKS LLC |
| NPI Number: | 1982081360 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | SUE IRWIN (BILLING MANAGER) |
| Mailing Address: | 2000 Auburn Dr Suite 200 Beachwood |
| State: | OH US |
| Postal Code: | 441224314 |
| Phone Number: | 4409346135 |
| Fax Number: | 4409346147 |
| NPI Enumeration Date: | 05/05/2015 |
| NPI Last Update Date: | 05/20/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |