Firelands Regional Medical Center

NPI #1386878304 in Lorain, Ohio

Provider Information

NPI Number: 1386878304
Entity Type: Organization
Organization Name: Firelands Regional Medical Center
Primary Specialty: Clinic/Center - Mental Health (Including Community Mental Health Center)
Enumeration Date: May 5, 2009
Last Updated: Sep 24, 2019

Practice Location

Address: 6150 PARK SQUARE DR STE B
City: Lorain
State: Ohio
ZIP Code: 44053-4153
Phone: (440) 984-3882

Authorized Official

Name: MR. DANIEL J MONCHER
Title: EXECUTIVE VICE PRESIDENT & CFO
Phone: (419) 557-7793

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Adult Mental Health — Adult Mental Health	261QM0850X
Clinic/Center - Adolescent and Children Mental Health — Adolescent and Children Mental Health	261QM0855X
Clinic/Center - Mental Health (Including Community Mental Health Center) — Mental Health (Including Community Mental Health Center)	261QM0801X	Primary

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