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NPI Code Detail

MEDICARE: ORLANDO BRIDGES SR. QMHS

MEDICARE: ORLANDO BRIDGES SR. 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 CoordinatorRFF599222OH
2251S00000XCommunity/Behavioral Health Agency

General Provider Information

NPI Number : 1487144515
Entity Type Code : Individual
Provider Name (Legal Business Name) : ORLANDO BRIDGES SR. QMHS
Provider Business Mailing Address
First Line : 5310 WARRENSVILLE CENTER RD
Second Line :
City : MAPLE HEIGHTS
State : OH
Zip : 44137-1915
Country : US
Telephone Number : 216-714-5070
Fax Number :
Provider Business Practice Location Address
First Line : 5310 WARRENSVILLE CENTER RD
Second Line :
City : MAPLE HEIGHTS
State : OH
Zip : 44137-1915
Country : US
Telephone Number : 216-714-5070
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/15/2018
Last Update Date : 09/23/2025

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Directions to “ ORLANDO BRIDGES SR. QMHS” Practice Location

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