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NPI Code Detail

MEDICARE: MURTIS TAYLOR HUMAN SERVICES SYSTEM

MEDICARE: MURTIS TAYLOR HUMAN SERVICES SYSTEM
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)289OH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1629001920
Entity Type Code : Organization
Provider Name (Legal Business Name) : MURTIS TAYLOR HUMAN SERVICES SYSTEM
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 :
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 :
Authorized Official
Title or Position : BILLING MANAGER
Name : MARQUETA A OSBORNE
Credential :
Telephone Number : 216-283-4400
Provider Enumeration Date : 07/09/2006
Last Update Date : 01/24/2018

Similar Medicare Providers

1740143080 — CLIFFORD ALAN HOOD QMHS
Practice Location Address:
13422 KINSMAN RD
CLEVELAND, OH
44120-4410
Practice Phone: 216-283-4400
Practice Fax: 216-283-5359
1720127137 — MS. BARBARA LOUISE WISELEY-CORTLAND APRN
Practice Location Address:
13422 KINSMAN RD
CLEVELAND, OH
44120-4410
Practice Phone: 216-283-4400
Practice Fax: 218-283-0119
1720127202 — MS. THERESA ANN BACKMAN APRN, BC
Practice Location Address:
13422 KINSMAN RD
CLEVELAND, OH
44120-4410
Practice Phone: 216-283-4400
Practice Fax: 216-283-0119
1669590980 — DR. ALICE ROSE KEMPE PH.D, R.N.,C.S.
Practice Location Address:
13422 KINSMAN RD
CLEVELAND, OH
44120-4410
Practice Phone: 216-283-4400
Practice Fax:
1982861548 — DR. NOREEN R. BRADY PHD, APRN-BC, LPCC
Practice Location Address:
13422 KINSMAN RD
CLEVELAND, OH
44120-4410
Practice Phone: 216-241-7223
Practice Fax: 216-241-7262
1811293798 — MRS. VALERIE L SISSON LISW-SUPV
Practice Location Address:
13422 KINSMAN RD
CLEVELAND, OH
44120-4410
Practice Phone: 216-283-4400
Practice Fax: 216-283-8740

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