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NPI Code Detail

MEDICARE: MOUNT CARMEL HEALTH PROVIDERS INC

MEDICARE: MOUNT CARMEL HEALTH PROVIDERS INC
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
1207Q00000XFamily Medicine Physician

General Provider Information

NPI Number : 1336314111
Entity Type Code : Organization
Provider Name (Legal Business Name) : MOUNT CARMEL HEALTH PROVIDERS INC
Provider Business Mailing Address
First Line : PO BOX 951603
Second Line :
City : CLEVELAND
State : OH
Zip : 44193-0018
Country : US
Telephone Number : 614-546-4400
Fax Number : 614-546-4441
Provider Business Practice Location Address
First Line : 7400 HUNTINGTON PARK DR
Second Line : SUITE 200
City : COLUMBUS
State : OH
Zip : 43235-5617
Country : US
Telephone Number : 614-430-9580
Fax Number : 614-430-9585
Authorized Official
Title or Position : COO
Name : PAUL C SCHUTTE
Credential :
Telephone Number : 614-546-4424
Provider Enumeration Date : 04/23/2008
Last Update Date : 04/23/2008

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