MEDICARE: HEALTH EXPRESS PRIMARY CARE

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
1	207R00000X	Internal Medicine Physician

General Provider Information

NPI Number	:	1669257796
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HEALTH EXPRESS PRIMARY CARE

Provider Business Mailing Address
First Line	:	1400 W PLEASANT VALLEY RD
Second Line	:
City	:	PARMA
State	:	OH
Zip	:	44134-6720
Country	:	US
Telephone Number	:	440-756-5638
Fax Number	:

Provider Business Practice Location Address
First Line	:	3762 PEARL RD
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44109-2754
Country	:	US
Telephone Number	:	216-777-2155
Fax Number	:	216-417-4068

Authorized Official
Title or Position	:	OFFICE MANAGER
Name	:	MICHELLE M PALANGE
Credential	:
Telephone Number	:	440-756-5638

Provider Enumeration Date	:	08/28/2023
Last Update Date	:	08/28/2023

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Directions to “HEALTH EXPRESS PRIMARY CARE ” Practice Location

Language	Start Address	Practice Location

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