DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: BEACON HEALTH

MEDICARE: BEACON HEALTH
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
1261QM0801XMental Health Clinic/Center (Including Community Mental Health Center)

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1306803788
Entity Type Code : Organization
Provider Name (Legal Business Name) : BEACON HEALTH
Provider Business Mailing Address
First Line : 9220 MENTOR AVENUE
Second Line :
City : MENTOR
State : OH
Zip : 44060-6412
Country : US
Telephone Number : 440-354-9924
Fax Number : 440-205-1009
Provider Business Practice Location Address
First Line : 9220 MENTOR AVENUE
Second Line :
City : MENTOR
State : OH
Zip : 44060-6412
Country : US
Telephone Number : 440-354-9924
Fax Number : 440-205-1009
Authorized Official
Title or Position : CEO
Name : MR. W SPENCER KLINE III
Credential : JD MED LPC
Telephone Number : 440-354-9924
Provider Enumeration Date : 04/28/2006
Last Update Date : 10/30/2014

Similar Medicare Providers

1598627259 — NATASHA WYNN
Practice Location Address:
9220 MENTOR AVE
MENTOR, OH
44060-6412
Practice Phone: 440-255-1700
Practice Fax:
1306041405 — MS. NANCI PANE LPCC-S
Practice Location Address:
9220 MENTOR AVE
MENTOR, OH
44060-6412
Practice Phone: 440-354-9924
Practice Fax: 440-354-5808
1578768677 — MRS. JULIE ANN KALINA HAMMOND LISW
Practice Location Address:
9220 MENTOR AVE
MENTOR, OH
44060-6412
Practice Phone: 440-354-9924
Practice Fax: 440-354-5808
1407054356 — MS. EMILY CURRIE-MANRING LISW
Practice Location Address:
9220 MENTOR AVE
MENTOR, OH
44060-6412
Practice Phone: 440-354-9924
Practice Fax:
1124228523 — DR. MICHAEL LOUIS GORJANC MD
Practice Location Address:
9220 MENTOR AVE , BEACON HEALTH
MENTOR, OH
44060-6412
Practice Phone: 440-639-3509
Practice Fax: 440-205-1009
1245411495 — KELLEY L. PASTOR PA-C
Practice Location Address:
9220 MENTOR AVE
MENTOR, OH
44060-6412
Practice Phone: 440-354-9924
Practice Fax: 877-242-9583

Directions to “BEACON HEALTH ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.