Provider Demographics
NPI:1598797334
Name:SOUTHWEST GENERAL HEALTH CENTER
Entity Type:Organization
Organization Name:SOUTHWEST GENERAL HEALTH CENTER
Other - Org Name:SOUTHWEST GENERAL HOME HEALTH
Other - Org Type:Doing Business As
Authorized Official - Title/Position:VP/CFO
Authorized Official - Prefix:
Authorized Official - First Name:KELLY
Authorized Official - Middle Name:
Authorized Official - Last Name:LINSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:440-816-8071
Mailing Address - Street 1:7575 OLD OAK BLVD
Mailing Address - Street 2:
Mailing Address - City:MIDDLEBURG HTS
Mailing Address - State:OH
Mailing Address - Zip Code:44130-3417
Mailing Address - Country:US
Mailing Address - Phone:440-816-6811
Mailing Address - Fax:440-816-6859
Practice Address - Street 1:7575 OLD OAK BLVD
Practice Address - Street 2:
Practice Address - City:MIDDLEBURG HTS
Practice Address - State:OH
Practice Address - Zip Code:44130-3344
Practice Address - Country:US
Practice Address - Phone:440-816-6850
Practice Address - Fax:440-816-6859
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:SOUTHWEST GENERAL HEALTH CENTER
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-07-06
Last Update Date:2023-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
000000252372OtherANTHEM BC BS TRAD ONLY
367253OtherSECURA HORIZONS MC HMO
367253OtherHUMANA MEDICARE HMO
OH573035Medicaid
OH573035Medicaid
19046OtherQUALCHOICE
=========01OtherBWC
367253OtherSECURA HORIZONS MC HMO
367253Medicare ID - Type Unspecified