LORAIN COUNTY HEALTH & DENTISTRY
NPI 1790251700
Clinic/Center - Federally Qualified Health Center (FQHC) in Lorain, OH
NPI Status: Active since October 17, 2018
Contact Information
6140 S BROADWAY
LORAIN, OH
ZIP 44053
Phone: (440) 240-1655
Fax: (440) 233-0194
- Organization
- Clinic/Center
- Federally Qualified Health Center (FQHC)
- Accepts Insurance
- CLIA Number: 36D0929324
- CLIA Cert. Type: Federally Qualified Health Center
- CLIA Exp. Date: 12-19-2026
About LORAIN COUNTY HEALTH & DENTISTRY
This page provides the complete NPI Profile along with additional information for Lorain County Health & Dentistry, a primary care provider established in Lorain, Ohio operating as a Clinic/center, focusing in federally qualified health center (fqhc) . The healthcare provider is registered in the NPI registry with number 1790251700 assigned on October 2018. The practitioner's primary taxonomy code is 261QF0400X. The provider is registered as an organization and their NPI record was last updated 7 years ago. Lorain County Health & Dentistry operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The authorized official of this NPI record is Stephanie Wiersma (Ceo & President)
- NPI
- 1790251700
- Provider Name
- LORAIN COUNTY HEALTH & DENTISTRY
- Entity Type
- Organization
- Location Address
- 6140 S BROADWAY LORAIN, OH 44053
- Location Phone
- (440) 240-1655
- Location Fax
- (440) 233-0194
- Mailing Address
- 1205 BROADWAY LORAIN, OH 44052
- Mailing Phone
- (440) 240-1655
- Mailing Fax
- (440) 233-0194
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 10-17-2018
- Last Update Date
- 10-17-2018
- Code Navigator
A primary care provider (PCP) like Lorain County Health & Dentistry sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Clinic/Center Federally Qualified Health Center (FQHC)
- Taxonomy Code
- 261QF0400X
- Type
- Ambulatory Health Care Facilities
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 207Q00000X | Allopathic & Osteopathic Physicians | Family Medicine | |
| 2 | 207QA0505X | Allopathic & Osteopathic Physicians | Family Medicine | |
| 3 | 207R00000X | Allopathic & Osteopathic Physicians | Internal Medicine | |
| 4 | 208000000X | Allopathic & Osteopathic Physicians | Pediatrics | |
| 5 | 363L00000X | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | |
| 6 | 363LA2200X | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | |
| 7 | 363LF0000X | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | |
| 8 | 363LP2300X | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner |
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Bronze 2 Advanced HSA: Aetna network + MinuteClinic + Virtual Primary Care - HMO
- Bronze 4 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Bronze 4 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
- Bronze S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Gold 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Gold 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
- Gold 3 Advanced: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Gold S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Silver 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Silver 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
- Silver 5 Advanced: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Silver S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Silver S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care + Adult Dental+Vision - HMO
- Clear Silver - HMO
- Elite Bronze - HMO
- Elite Bronze + Vision + Adult Dental - HMO
- Elite Gold - HMO
- Elite Gold + Vision + Adult Dental - HMO
- Everyday Bronze - HMO
- Everyday Bronze + Vision + Adult Dental - HMO
- Everyday Gold - HMO
- Everyday Gold + Vision + Adult Dental - HMO
- Focused Silver - HMO
- Focused Silver + Vision + Adult Dental - HMO
- Standard Expanded Bronze - HMO
- Standard Expanded Bronze + Vision + Adult Dental - HMO
- Standard Gold - HMO
- Standard Gold + Vision + Adult Dental - HMO
- Standard Silver - HMO
- Standard Silver + Vision + Adult Dental - HMO
- Choice Bronze HSA - HMO
- Choice Bronze HSA + Vision + Adult Dental - HMO
- Clear Gold - HMO
- Clear Gold + Vision + Adult Dental - HMO
- Clear Silver - HMO
- Complete Gold - HMO
- Complete Gold + Vision + Adult Dental - HMO
- Complete Silver - HMO
- Complete Silver + Vision + Adult Dental - HMO
- Elite Gold - HMO
- Elite Gold + Vision + Adult Dental - HMO
- Everyday Bronze - HMO
- Everyday Bronze + Vision + Adult Dental - HMO
- Focused Silver - HMO
- Focused Silver + Vision + Adult Dental - HMO
- Standard Expanded Bronze - HMO
- Standard Expanded Bronze + Vision + Adult Dental - HMO
- Standard Gold - HMO
- Standard Gold + Vision + Adult Dental - HMO
- Standard Silver - HMO
- Anthem Bronze Pathway HMO 7450 for HSA - HMO
- Anthem Bronze Pathway HMO 7500 Standard ($0 Virtual PCP + $0 Select Drugs) - HMO
- Anthem Bronze Pathway HMO 9200 ($0 Virtual PCP + $0 Select Drugs) - HMO
- Anthem Bronze Pathway HMO 9200 Adult Dental & Vision ($0 Virtual PCP + $0 Select Drugs) - HMO
- Anthem Catastrophic Pathway HMO 9200 - HMO
- Anthem Gold Pathway HMO 1500 Standard ($0 Virtual PCP + $0 Select Drugs) - HMO
- Anthem Heart Healthy Bronze Pathway HMO 6000 ($0 Virtual PCP + $0 Select Drugs) - HMO
- Anthem Heart Healthy Silver Pathway X HMO 6000 ($0 Virtual PCP + $0 Select Drugs) - HMO
- Anthem Silver Pathway HMO 4000 Adult Dental/Vision ($0 Virtual PCP + $0 Select Drugs) - HMO
- Anthem Silver Pathway HMO 5000 Standard ($0 Virtual PCP + $0 Select Drugs) - HMO
- Anthem Silver Pathway HMO 5400 for HSA - HMO
- Anthem Silver Pathway X HMO 4000 ($0 Virtual PCP + $0 Select Drugs) - HMO
- Bronze 10 - HMO
- Bronze 8 - HMO
- Bronze 9 - HMO
- Gold 1 - HMO
- Gold 1 with Adult Vision Services - HMO
- Gold 8 - HMO
- Silver 1 - HMO
- Silver 1 with Adult Vision Services - HMO
- Silver 12 with first 4 free PCP or MH visits - HMO
- Silver 8 - HMO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 36D0929324
- Facility Type
- Federally Qualified Health Center
- Certificate Effective Date
- December 20, 2024
- Certificate Expiration Date
- December 19, 2026
- Laboratory Director
- JEFFREY CHRISTIAN
- Certificate Type
- Certificate for Provider-Performed Microscopy Procedures (PPMP)
- Certificate Type Description
- This CLIA certificate is issued to Lorain County Health & Dentistry in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing.
Reviews for LORAIN COUNTY HEALTH & DENTISTRY
There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.
NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 7 | 9 | 0 | 2 | 5 | 1 | 7 | 0 | 0 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 7 | 18 | 0 | 4 | 5 | 2 | 7 | 0 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 7 + 1 + 8 + 0 + 4 + 5 + 2 + 7 + 0 + 24 = 60 | |||||||||
| Step 3: because the number obtained in step 2 ends in zero, the check digit is zero. | |||||||||
| 0 | |||||||||
The NPI number 1790251700 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1629188545 | MR. GARY ALLEN JAFFE MA, LPC Individual | Counselor (Mental Health) | 6140 S BROADWAY LORAIN, OH 44053 (440) 233-7232 |
| 1023158110 | BARBARA MAHER L.I.S.W. Individual | Social Worker (Clinical) | 6140 S BROADWAY LORAIN, OH 44053 (440) 204-4100 |
| 1861532038 | DANNIE GANNON L.P.C.C. Individual | Counselor (Professional) | 6140 S BROADWAY LORAIN, OH 44053 (440) 204-4100 |
| 1043353311 | KATHLEEN CAMPBELL L.I.S.W. Individual | Social Worker (Clinical) | 6140 S BROADWAY LORAIN, OH 44053 (440) 204-4100 |
| 1962538611 | BENJAMIN MILADIN L.I.S.W. Individual | Social Worker (Clinical) | 6140 S BROADWAY LORAIN, OH 44053 (440) 204-4100 |
| 1992834618 | BRENDA IRWIN L.P.C.C. Individual | Counselor (Professional) | 6140 S BROADWAY LORAIN, OH 44053 (440) 204-4100 |
| 1295865707 | JOHN VESEL L.P.C.C. Individual | Counselor (Mental Health) | 6140 S BROADWAY LORAIN, OH 44053 (440) 204-4100 |
| 1548386030 | ROXSAND ZIMA L.S.W. Individual | Social Worker | 6140 S BROADWAY LORAIN, OH 44053 (440) 204-4100 |
| 1174649834 | SUE HENDRICKS L.S.W. Individual | Social Worker | 6140 S BROADWAY LORAIN, OH 44053 (440) 204-4100 |
| 1447376207 | JUDY HYDE L.P.C.C. Individual | Counselor (Mental Health) | 6140 S BROADWAY LORAIN, OH 44053 (440) 204-4100 |
| 1629194204 | JOHN VITELLO LSW Individual | Social Worker | 6140 S BROADWAY LORAIN, OH 44053 (440) 204-4100 |
| 1427175702 | SHAWNA STOCKDALE L.I.S.W. Individual | Social Worker | 6140 S BROADWAY LORAIN, OH 44053 (440) 204-4100 |
| 1124145321 | LISETTE BURWASSER L.P.C. Individual | Counselor | 6140 S BROADWAY LORAIN, OH 44053 (440) 204-4100 |
| 1841317203 | DIANA ADAMS L.S.W. Individual | Social Worker | 6140 S BROADWAY LORAIN, OH 44053 (440) 204-4100 |
| 1811014897 | FILIZ VISK L.I.S.W. Individual | Social Worker | 6140 S BROADWAY LORAIN, OH 44053 (440) 204-4100 |
| 1609993856 | MARY ANZELMO L.P.C. Individual | Counselor | 6140 S BROADWAY LORAIN, OH 44053 (440) 204-4100 |
| 1386762839 | NAGWA IBRAHIM L.S.W. Individual | Social Worker | 6140 S BROADWAY LORAIN, OH 44053 (440) 204-4100 |
| 1144348996 | JEREMY EVENDEN L.I.S.W. Individual | Social Worker | 6140 S BROADWAY LORAIN, OH 44053 (440) 204-4100 |
| 1124225420 | ROSS MOORE L.P.C.C. Individual | Counselor (Professional) | 6140 S BROADWAY LORAIN, OH 44053 (440) 204-4100 |
| 1851587554 | JUDITH WILLEY L.I.S.W. Individual | Social Worker (Clinical) | 6140 S BROADWAY LORAIN, OH 44053 (440) 204-4100 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1790251700, enumerated in the NPI registry as an "organization" on October 17, 2018
The provider is located at 6140 S Broadway Lorain, Oh 44053 and the phone number is (440) 240-1655
This medical organization specializes in Clinic/Center with taxonomy code 261QF0400X with a focus in Federally Qualified Health Center (FQHC)
The provider might be accepting Accepts: Aetna CVS Health, Ambetter from Meridian, Ambetter. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
The provider's CLIA number is 36D0929324 for a "federally qualified health center" facility with a CLIA Certificate for Provider-Performed Microscopy Procedures (PPMP). This CLIA certificate is issued in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing..
This NPI record was last updated on October 17, 2018. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.