| Harbor Medical Clinic, Inc. | |
|
611 Lake Ave Ashtabula OH 44004-3262 | |
| (440) 964-0616 | |
| (440) 964-3703 |
| Full Name | Harbor Medical Clinic, Inc. |
|---|---|
| Speciality | Family Medicine |
| Location | 611 Lake Ave, Ashtabula, Ohio |
| Authorized Official Name and Position | James Lambros (PRESIDENT) |
| Authorized Official Contact | 4409640616 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Harbor Medical Clinic, Inc. 611 Lake Ave Ashtabula OH 44004-3262 Ph: (440) 964-0616 | Harbor Medical Clinic, Inc. 611 Lake Ave Ashtabula OH 44004-3262 Ph: (440) 964-0616 |
| NPI Number | 1205829082 |
|---|---|
| Provider Enumeration Date | 08/26/2005 |
| Last Update Date | 01/06/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205829082 | NPI | - | NPPES |
| 3001834 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 34002513 (Ohio) | Primary |
News Archive
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