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Contact Information

AUGUST HEALTH SERVICES INCORPORATED
4850 HICKORY NUT LN
INDEPENDENCE, OH44131-4640
 Phone: 216-524-2521
 Fax: 216-524-2521
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Geriatric Medicine

207QG0300X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for AUGUST HEALTH SERVICES INCORPORATED

NPI # 1184768616
LBN Legal business name AUGUST HEALTH SERVICES INCORPORATED
Authorized official DONNA LANZA - (VICE PRESIDENT-MEDICAL OPERATIONS)
Entity Organization
Organization subpart 1 No
Enumeration date 02/17/2007
Last updated 02/11/2014 - About 12 years ago
Identifiers
OH Medicaid 2379484
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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