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Contact Information

WESTSHORE PRIMARY CARE ASSOC INC
26908 DETROIT RD
STE 200
WESTLAKE, OH44145
 Phone: 440-250-8660
 Fax: 440-250-8639
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
 

Endocrinology, Diabetes & Metabolism

207RE0101X 11 Physician/Internal Medicine
 

Family Medicine

207Q00000X 08 Physician/Family Practice
 

Pediatrics

208000000X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for WESTSHORE PRIMARY CARE ASSOC INC

NPI Number 1356458327
LBN Legal business name WESTSHORE PRIMARY CARE ASSOC INC
Authorized official MISTY BLAYLOCK - (CREDENTIALING COORDINATOR)
Entity Organization
Organization subpart 1 No
Enumeration date 08/24/2006
Last updated 01/12/2010 - About 16 years ago
Identifiers
OH Medicaid 0858077
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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