1326175183 NPI number — THE CLEVELAND CLINIC FOUNDATION

Table of content: (NPI 1326175183)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1326175183 NPI number — THE CLEVELAND CLINIC FOUNDATION

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
THE CLEVELAND CLINIC FOUNDATION
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:
Provider Other Organization Name Type Code:
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:
1326175183
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
03/31/2022
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1 PARK WEST BLVD
Provider Second Line Business Mailing Address:
SUITE 150
Provider Business Mailing Address City Name:
AKRON
Provider Business Mailing Address State Name:
OH
Provider Business Mailing Address Postal Code:
44320-4218
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
330-864-8060
Provider Business Mailing Address Fax Number:
330-864-8074

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1 PARK WEST BLVD
Provider Second Line Business Practice Location Address:
SUITE 150
Provider Business Practice Location Address City Name:
AKRON
Provider Business Practice Location Address State Name:
OH
Provider Business Practice Location Address Postal Code:
44320-4218
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
330-864-8060
Provider Business Practice Location Address Fax Number:
330-864-8074
Provider Enumeration Date:
02/28/2007

Additional Information

Authorized Official

Authorized Official Last Name:
LONGVILLE
Authorized Official First Name:
TIMOTHY
Authorized Official Middle Name:
L.
Authorized Official Title or Position:
CHIEF ACCT OFFICER AND CONTROLLER
Authorized Official Telephone Number:
216-636-7416

Provider Taxonomy Codes

  • Taxonomy code: 332H00000X , with the licence number:  77179615 , registered in the state of OH ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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





Copyright © 2007-2025 www.npivalidator.com