Beacon Health

NPI 1306803788 - Clinic/Center - 261QM0801X

NPI Details
NPI 1306803788
Enumeration Date 04/28/2006
Last Updated 10/30/2014
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name W SPENCER W
Position CEO
Phone (440) 354-9924
Fax (440) 205-1009
Practice Location
9220 MENTOR AVENUE
MENTOR OH, 44060-6412, US
Phone (440) 354-9924
Fax (440) 205-1009
Business Location
9220 MENTOR AVENUE
MENTOR OH, 44060-6412, US
Phone (440) 354-9924
Fax (440) 205-1009
Toxanomy
Taxonomy Code 261QM0801X
License State
License Number
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According to our database, Beacon Health NPI is 1306803788, taxonomy code is 261QM0801X Beacon Health physically located at 9220 Mentor Avenue, Mentor OH, 44060-6412. NPI Number 1033115704 has the healthcare provider type.

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1306803788 NPI number is provided on an as is basis without warranty of any kind. 1306803788 is maintained by the National Plan & Provider Enumeration System. The contents of Beacon Health are for informational purposes only.