CITY OF LAKEWOOD - DIVISION OF HEALTH
NPI 1104819457
Clinic/Center - Public Health, State or Local in Lakewood, OH

Active since August 23, 2005
12805 DETROIT AVE, LAKEWOOD, OH 44107(216) 529-7690(216) 529-5910 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 21, 2022, Aug 22, 2020 (2 updates tracked since 2020).

About City Of Lakewood - Division Of Health NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CITY OF LAKEWOOD - DIVISION OF HEALTH (NPI 1104819457) is a healthcare organization registered as a public health, state or local in Lakewood, Ohio and active in the NPI registry since August 2005. The organization lists Virginia A Evans, Health Commissioner, as its authorized official.

NPPES Registry Identity

NPI1104819457
Entity TypeOrganization
Primary Taxonomy261QP0905X
Legal Business NameCITY OF LAKEWOOD - DIVISION OF HEALTH
Location Address12805 DETROIT AVELakewood, OH 44107-2835
Mailing Address12805 Detroit AveLakewood, OH 44107-2835 · (216) 529-7690 · Fax (216) 529-5910
Fax(216) 529-5910
Organization SubpartNo
Authorized OfficialVirginia A EvansHealth Commissioner · (216) 529-7693
Enumeration DateAugust 23, 2005
Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration
NPI 1104819457 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Public Health, State or LocalAmbulatory Health Care Facilities
Taxonomy Code261QP0905X
12805 DETROIT AVE, Lakewood, OH 44107

Other Identifiers 1

Medicaid0874237OH

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is City Of Lakewood - Division Of Health's NPI number?

The NPI number for City Of Lakewood - Division Of Health is 1104819457. It was assigned to this organization in the NPPES registry on August 23, 2005.

Where is City Of Lakewood - Division Of Health located?

City Of Lakewood - Division Of Health is located at 12805 Detroit Ave, Lakewood, OH 44107. The listed phone number is (216) 529-7690.

What is City Of Lakewood - Division Of Health's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Public Health, State or Local, with taxonomy code 261QP0905X.

When was this NPI record last updated?

The NPPES record for City Of Lakewood - Division Of Health was last updated on July 21, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.