Archwell Health Professional Services Of Ohio, INC.
Internal Medicine in Parma, OH. Organization (NPI-2).
NPI number1366248965
StatusActive
Last updated in NPPESJun 11, 2025
Details
- NPI
- 1366248965
- Entity type
- Organization (NPI-2)
- Legal business name
- Archwell Health Professional Services Of Ohio, INC.
- Organization subpart
- No
- Enumeration date
- Feb 24, 2025
- Certification date
- Jun 11, 2025
- Last updated
- Jun 11, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | – | – | Yes |
| 207RC0000X | Internal Medicine, Cardiovascular Disease | – | – | |
| 363L00000X | Nurse Practitioner | – | – | |
| 207Q00000X | Family Medicine | – | – |
Practice location
5795 State RdParma, OH 44134-2541
Phone 888-987-1151
Mailing address
102 Woodmont Blvd Ste 600Nashville, TN 37205-5250
Phone 888-987-1151
Authorized official
Lisa Lucas
Chief Administrative Officer
6154199047
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