LORAIN COUNTY HEALTH & DENTISTRY – Federally Qualified Health Center (FQHC), NPI 1841238417

LORAIN COUNTY HEALTH & DENTISTRY is a healthcare provider. based in Lorain, Ohio. specializing in Federally Qualified Health Center (FQHC). The NPI Number for LORAIN COUNTY HEALTH & DENTISTRY is 1841238417

Main info

Organization
Name
LORAIN COUNTY HEALTH & DENTISTRY
NPI
1841238417
Phone
(440) 240-1655
Address
1205 BROADWAY
Authorized Official
STEPHANIE WIERSMA PRESIDENT AND CEO
Enumeration Date
3 June 2006
Last Update Date
30 September 2013
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience55
Completeness75
Years active:20State licenses:0Digital endpointsOther names

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Provider Addresses for LORAIN COUNTY HEALTH & DENTISTRY

  • 1205, Broadway, Lorain, Lorain County, Ohio, 44052, United States

    LORAIN, OH 440523409

    Phone: (440) 240-1655

    Fax: (440) 245-1218

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2003-02-17

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Revalidation scheduled

Earliest CMS due date is 2026-10-31 (145 days away).

Enrollment records

1

Earliest due date

2026-10-31

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
O20030217000020OFederally Qualified Health Center (Fqhc)OH2026-10-31

What to do next

  • Monitor the published due date as it approaches.
  • Plan to revalidate in PECOS within the window CMS allows before the due date.
  • Verify the date on the CMS Revalidation Lookup Tool before submitting.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 44052)

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Reviews

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Frequently asked questions

What number should I use to identify LORAIN COUNTY HEALTH & DENTISTRY for billing?
Administrative and clinical systems typically use NPI 1841238417 for LORAIN COUNTY HEALTH & DENTISTRY.
Should I treat LORAIN COUNTY HEALTH & DENTISTRY as an active provider?
Patients and plans typically see LORAIN COUNTY HEALTH & DENTISTRY as active in the national extract.
What does the directory say LORAIN COUNTY HEALTH & DENTISTRY does?
Insurance directories may phrase it differently, but here LORAIN COUNTY HEALTH & DENTISTRY maps to Federally Qualified Health Center (FQHC). Clinical services aligned with this taxonomy classification.
What city is tied to LORAIN COUNTY HEALTH & DENTISTRY?
The directory associates LORAIN COUNTY HEALTH & DENTISTRY with Lorain, Ohio. Check all listed addresses for suites or satellite offices.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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