1083656045 NPI number — THE METROHEALTH SYSTEM

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1083656045 NPI number — THE METROHEALTH SYSTEM

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
THE METROHEALTH SYSTEM
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
METROHEALTH SUBACUTE SERVICES
Provider Other Organization Name Type Code:
3
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1083656045
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
02/11/2022
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
4229 PEARL RD
Provider Second Line Business Mailing Address:
ATTN: LINDA GREENHILL PFS SPVR RM 2-20-20
Provider Business Mailing Address City Name:
CLEVELAND
Provider Business Mailing Address State Name:
OH
Provider Business Mailing Address Postal Code:
44109-4218
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
216-957-2442
Provider Business Mailing Address Fax Number:
216-957-2404

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2500 METROHEALTH DR
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
CLEVELAND
Provider Business Practice Location Address State Name:
OH
Provider Business Practice Location Address Postal Code:
44109-1900
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
216-957-2442
Provider Business Practice Location Address Fax Number:
216-957-2404
Provider Enumeration Date:
06/12/2006

Additional Information

Authorized Official

Authorized Official Last Name:
RICHMOND
Authorized Official First Name:
CRAIG
Authorized Official Middle Name:
Authorized Official Title or Position:
SENIOR VP CHIEF FINANCIAL OFFICER
Authorized Official Telephone Number:
216-778-5716

Provider Taxonomy Codes

  • Taxonomy code: 314000000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 0254068 , issued by the state of ( OH ) . This identifiers is of the category "MEDICAID".




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