Provider Demographics
NPI:1851506513
Name:NORTHCOAST HEALTHCARE MANAGEMET SVCS.
Entity Type:Organization
Organization Name:NORTHCOAST HEALTHCARE MANAGEMET SVCS.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EVP BUSINESS DEVELOPMENT AND REIMBU
Authorized Official - Prefix:
Authorized Official - First Name:AMY
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:KONOPKA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:216-591-2000
Mailing Address - Street 1:4199 KINROSS LAKES PKWY STE 220
Mailing Address - Street 2:
Mailing Address - City:RICHFIELD
Mailing Address - State:OH
Mailing Address - Zip Code:44286-9394
Mailing Address - Country:US
Mailing Address - Phone:440-212-8828
Mailing Address - Fax:216-591-2500
Practice Address - Street 1:4199 KINROSS LAKES PKWY STE 220
Practice Address - Street 2:
Practice Address - City:RICHFIELD
Practice Address - State:OH
Practice Address - Zip Code:44286-9394
Practice Address - Country:US
Practice Address - Phone:440-212-8828
Practice Address - Fax:216-591-2500
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-14
Last Update Date:2021-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH157514OtherA-COMMERCIAL INS