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NPI Code Detail

MEDICARE: MIKAEL CHASE QMHS

MEDICARE: MIKAEL CHASE QMHS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1171M00000XCase Manager/Care CoordinatorOH

General Provider Information

NPI Number : 1972438653
Entity Type Code : Individual
Provider Name (Legal Business Name) : MIKAEL CHASE QMHS
Provider Business Mailing Address
First Line : 13422 KINSMAN RD
Second Line :
City : CLEVELAND
State : OH
Zip : 44120-4410
Country : US
Telephone Number : 216-283-4400
Fax Number : 216-283-2099
Provider Business Practice Location Address
First Line : 13422 KINSMAN RD
Second Line :
City : CLEVELAND
State : OH
Zip : 44120-4410
Country : US
Telephone Number : 216-283-4400
Fax Number : 216-283-2099
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/15/2026
Last Update Date : 06/15/2026

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Directions to “ MIKAEL CHASE QMHS” Practice Location

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