CLINICAL PRACTICE OF LECOM INSTITUTE FOR SUCCESSFUL LIVING
NPI 1356102859
Clinic/Center - Rural Health in Ashtabula, OH

Q: What is Clinical Practice Of Lecom Institute For Successful Living's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.

Active since January 22, 2024

524 W 24TH ST, ASHTABULA, OH 44004(440) 496-6500 Get Directions Write a Review

NPPES record last updated: January 22, 2024. Verified against the NPPES registry weekly; last sync: September 06, 2026.

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About Clinical Practice Of Lecom Institute For Successful Living NPPES

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

CLINICAL PRACTICE OF LECOM INSTITUTE FOR SUCCESSFUL LIVING (NPI 1356102859), doing business as Rural Health Clinic Of Ashtabula, is a healthcare organization registered as a rural health in Ashtabula, Ohio and active in the NPI registry since January 2024. The organization lists James Y Lin, President, as its authorized official.

NPPES Registry Identity

NPI1356102859

Entity TypeOrganization

Primary Taxonomy261QR1300X

Legal Business NameCLINICAL PRACTICE OF LECOM INSTITUTE FOR SUCCESSFUL LIVING

Location Address524 W 24TH STAshtabula, OH 44004-3423

Mailing Address5401 Peach St Ste 3400Erie, PA 16509-2601 · (814) 868-2200

Phone(440) 496-6500

Organization SubpartYesParent: Millcreek Manor

Authorized OfficialJames Y LinPresident · (814) 602-7783

Enumeration DateJanuary 22, 2024

NPPES CertifiedJanuary 22, 2024

✔ NPI 1356102859 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities

Taxonomy Code261QR1300X

Also ListedInternal Medicine · Geriatric MedicineTaxonomy 207RG0300X

Also ListedObstetrics & GynecologyTaxonomy 207V00000X

Also ListedPodiatristTaxonomy 213E00000X

524 W 24TH ST, Ashtabula, OH 44004

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Other Names 1

Doing Business AsRural Health Clinic Of Ashtabula

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KATE WAGNER PA-C

Physician Assistant