| St. Vincent Charity Medical Center | |
|
2351 E 22nd St Suite 342w Cleveland OH 44115-3111 | |
| (316) 861-6200 | |
| (216) 363-7490 |
| Full Name | St. Vincent Charity Medical Center |
|---|---|
| Speciality | Clinic/center - Student Health |
| Location | 2351 E 22nd St, Cleveland, Ohio |
| Authorized Official Name and Position | Dyron Mickey Holt (DENTAL RESIDENT) |
| Authorized Official Contact | 8652508398 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| St. Vincent Charity Medical Center 19425 Van Aken Blvd Apt. 401 Shaker Heights OH 44122-3547 Ph: (216) 861-6200 | St. Vincent Charity Medical Center 2351 E 22nd St Suite 342w Cleveland OH 44115-3111 Ph: (316) 861-6200 |
| NPI Number | 1790169381 |
|---|---|
| Provider Enumeration Date | 07/14/2015 |
| Last Update Date | 07/14/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790169381 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QS1000X | Clinic/center - Student Health | (* (Not Available)) | Primary |
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