Healthcare Provider Details

I. General information

NPI: 1063444800
Provider Name (Legal Business Name): SOUTHWEST GENERAL HEALTH CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/06/2006
Last Update Date: 03/14/2025
Certification Date: 03/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

18659 DRAKE RD
STRONGSVILLE OH
44136-7059
US

IV. Provider business mailing address

18659 DRAKE RD
STRONGSVILLE OH
44136-7059
US

V. Phone/Fax

Practice location:
  • Phone: 440-816-5000
  • Fax: 440-816-5038
Mailing address:
  • Phone: 440-816-5040
  • Fax: 440-816-5038

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code315D00000X
TaxonomyInpatient Hospice
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code251G00000X
TaxonomyCommunity Based Hospice Care Agency
License Number
License Number State

VIII. Authorized Official

Name: WILLIAM YOUNG JR.
Title or Position: PRESIDENT/CEO
Credential:
Phone: 440-816-6701