| Marymount Hospital | |
|
12300 Mccracken Road Garfield Heights OH 44125-2914 | |
| (216) 581-0500 | |
| Not Available |
| Full Name | Marymount Hospital |
|---|---|
| Speciality | Psychiatric Unit |
| Location | 12300 Mccracken Road, Garfield Heights, Ohio |
| Authorized Official Name and Position | Timothy L. Longville (CHIEF ACCT. OFFICER AND CONTROLLER) |
| Authorized Official Contact | 2166367416 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Marymount Hospital 12300 Mccracken Road Garfield Heights OH 44125-2914 Ph: (216) 581-0500 | Marymount Hospital 12300 Mccracken Road Garfield Heights OH 44125-2914 Ph: (216) 581-0500 |
| NPI Number | 1679511463 |
|---|---|
| Provider Enumeration Date | 06/03/2006 |
| Last Update Date | 03/30/2022 |
| Certification Date | 03/30/2022 |
| Medicare PECOS PAC ID | 6507763661 |
|---|---|
| Medicare Enrollment ID | O20080117000667 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679511463 | NPI | - | NPPES |
| 2915171 | Medicaid | OH | |
| 5000046 | Other | UNITED HEALTHCARE | |
| 100107 | Other | KAISER | |
| 6460670 | Other | AETNA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 273R00000X | Psychiatric Unit | 1136 (Ohio) | Primary |
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