Cleveland State University Health And Wellness Services | |
2121 Euclid Ave Un 263 Cleveland OH 44115-2214 | |
(216) 687-3649 | |
(216) 687-9319 |
Full Name | Cleveland State University Health And Wellness Services |
---|---|
Speciality | Clinic/center - Student Health |
Location | 2121 Euclid Ave, Cleveland, Ohio |
Authorized Official Name and Position | Eileen Guttman (SUPERVISOR) |
Authorized Official Contact | 2166873649 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Cleveland State University Health And Wellness Services 2121 Euclid Ave Un 263 Cleveland OH 44115-2214 Ph: (216) 687-3649 | Cleveland State University Health And Wellness Services 2121 Euclid Ave Un 263 Cleveland OH 44115-2214 Ph: (216) 687-3649 |
NPI Number | 1023090974 |
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Provider Enumeration Date | 11/16/2005 |
Last Update Date | 08/17/2018 |
Identifier | Type | State | Issuer |
---|---|---|---|
1023090974 | NPI | - | NPPES |
2329019 | Medicaid | OH | |
36D0874476 | Other | OH | CLIA |
02-0251800 | Other | OH | PHARM LICENSE # |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QS1000X | Clinic/center - Student Health | (* (Not Available)) | Primary |
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Northeast Ohio Neighborhood Health Services, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 13301 Miles Ave, Cleveland, OH 44105 Phone: 216-751-3100 Fax: 216-751-2480 | |
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