| St. Vincent Charity Health Campus, Inc. | |
|
2351 E 22nd St Cleveland OH 44115-3111 | |
| (216) 363-7000 | |
| Not Available |
| Full Name | St. Vincent Charity Health Campus, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 2351 E 22nd St, Cleveland, Ohio |
| Authorized Official Name and Position | Michael J Biscaro (VICE PRESIDENT, BEHAVIORAL HEALTH) |
| Authorized Official Contact | 2163637010 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| St. Vincent Charity Health Campus, Inc. 2475 E 22nd St Fl 5 Cleveland OH 44115-3209 Ph: (216) 363-7010 | St. Vincent Charity Health Campus, Inc. 2351 E 22nd St Cleveland OH 44115-3111 Ph: (216) 363-7000 |
| NPI Number | 1063147361 |
|---|---|
| Provider Enumeration Date | 07/20/2022 |
| Last Update Date | 02/16/2023 |
| Certification Date | 02/16/2023 |
| Medicare PECOS PAC ID | 1759756810 |
|---|---|
| Medicare Enrollment ID | O20230404001101 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063147361 | NPI | - | NPPES |
| Provider Name | Michael J Biscaro |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1033219779 PECOS PAC ID: 9739186941 Enrollment ID: I20061101000256 |
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