August Health Services Incorporated

Organization Active NPI Geriatric Medicine (Family Medicine) Physician · Independence, OH

NPI 1184768616 · NPPES record last updated Feb 11, 2014

Key facts

NPI
1184768616
Entity type
Organization (NPI type 2)
Primary specialty
Geriatric Medicine (Family Medicine) Physician 207QG0300X
Legal business name
AUGUST HEALTH SERVICES INCORPORATED
Practice address
4850 Hickory Nut LN
Independence, OH 44131-4640
Phone
(216) 524-2521
Fax
(216) 524-2521
NPI assigned
Feb 17, 2007
Organization subpart
No

Authorized official

Name
Mrs. Donna L. Lanza, CNP
Title
Vice President-Medical Operations
Phone
(440) 582-1484

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Family Medicine) Physician
Group: 193400000X SINGLE SPECIALTY GROUP
207QG0300X Yes

Addresses

Primary practice location

4850 Hickory Nut LN
Independence, OH 44131-4640

Mailing address

12744 State Road
North Royalton, OH 44133
Phone (440) 582-1484

Other identifiers

IdentifierTypeStateIssuer
2379484MedicaidOH

Other providers in Independence, OH

All providers in Independence, OH · Geriatric Medicine (Family Medicine) Physician in Ohio

Sources for this page

Verify at the official NPI Registry.