| The Free Clinic | |
|
12201 Euclid Ave Cleveland OH 44106 | |
| (216) 707-3408 | |
| (216) 707-3528 |
| Full Name | The Free Clinic |
|---|---|
| Speciality | Clinic/Center |
| Location | 12201 Euclid Ave, Cleveland, Ohio |
| Authorized Official Name and Position | Christine Gambatese (CFO) |
| Authorized Official Contact | 4406679805 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| The Free Clinic 12201 Euclid Ave Cleveland OH 44106 Ph: (216) 707-3408 | The Free Clinic 12201 Euclid Ave Cleveland OH 44106 Ph: (216) 707-3408 |
| NPI Number | 1386609857 |
|---|---|
| Provider Enumeration Date | 04/19/2006 |
| Last Update Date | 05/07/2024 |
| Medicare PECOS PAC ID | 7517102478 |
|---|---|
| Medicare Enrollment ID | O20130325000167 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386609857 | NPI | - | NPPES |
| 0082924 | Medicaid | OH | |
| 0250222 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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