| Metrohealth Professional Group, Metrohealth Medical Ctr | |
|
2500 Metrohealth Drive Cleveland OH 44109-1998 | |
| (216) 957-2442 | |
| (216) 957-2404 |
| Full Name | Metrohealth Professional Group, Metrohealth Medical Ctr |
|---|---|
| Speciality | Psychiatry & Neurology - Addiction Psychiatry |
| Location | 2500 Metrohealth Drive, Cleveland, Ohio |
| Authorized Official Name and Position | Derrick Hollings (EVP/CFO) |
| Authorized Official Contact | 2167785716 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Metrohealth Professional Group, Metrohealth Medical Ctr 2500 Metrohealth Drive Cleveland OH 44109-1998 Ph: (216) 957-2442 | Metrohealth Professional Group, Metrohealth Medical Ctr 2500 Metrohealth Drive Cleveland OH 44109-1998 Ph: (216) 957-2442 |
| NPI Number | 1023436375 |
|---|---|
| Provider Enumeration Date | 04/03/2014 |
| Last Update Date | 05/09/2024 |
| Certification Date | 05/09/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023436375 | NPI | - | NPPES |
| 0100457 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0802X | Psychiatry & Neurology - Addiction Psychiatry | (* (Not Available)) | Primary |
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