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OUTREACH PROFESSIONAL SERVICES INC NPI 1558478131


NPI Information

NPI: 1558478131
Provider Name: OUTREACH PROFESSIONAL SERVICES INC

Doing Business As: ST VINCENT MEDICAL GROUP

Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
Entity Type: Organization
Address:
2351 E 22ND ST
CLEVELAND, OH
ZIP 44115
Phone: (216) 363-2730
Get Directions

OUTREACH PROFESSIONAL SERVICES INC is a durable medical equipment medical supplies in Cleveland, OH. The provider is a supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time. OUTREACH PROFESSIONAL SERVICES INC NPI is 1558478131. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As St Vincent Medical Group.

The provider's business location address is:

2351 E 22ND ST
CLEVELAND, OH
ZIP 44115-111
Phone: (216) 363-2730

The provider's authorized official is John Rusnaczyk .
The authorized official title is Senior Vice President & Cfo and has the following contact phone number (216) 363-2730.

The enumeration date for this NPI number is 8/23/2006 and was last updated on 8/2/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1204C00000XNeuromusculoskeletal Medicine, Sports MedicineNo
2207Q00000XFamily MedicineNo
3207RR0500XInternal MedicineRheumatologyNo
4207RS0010XInternal MedicineSports MedicineNo
5207T00000XNeurological SurgeryNo
6207X00000XOrthopaedic SurgeryNo
7213E00000XPodiatristNo
8332B00000XDurable Medical Equipment & Medical SuppliesYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
10251856MEDICAIDOHIO
26248750001MEDICARE NSCOHIO
39322324MEDICARE PINOHIO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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