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2500 Metrohealth Drive Cleveland OH 44109-1998 | |
| (216) 957-2442 | |
| (216) 957-2404 |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Community Health |
| Location | 2500 Metrohealth Drive, Cleveland, Ohio |
| Authorized Official Name and Position | Derrick Hollings (EVP/CFO) |
| Authorized Official Contact | 2167787800 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
2500 Metrohealth Dr Cleveland OH 44109-1900 Ph: () - | 2500 Metrohealth Drive Cleveland OH 44109-1998 Ph: (216) 957-2442 |
| NPI Number | 1093072993 |
|---|---|
| Provider Enumeration Date | 04/16/2012 |
| Last Update Date | 05/09/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093072993 | NPI | - | NPPES |
| 2864173 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QC1500X | Clinic/center - Community Health | (* (Not Available)) | Primary |
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