MEDICARE: THE METROHEALTH SYSTEM

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332BC3200X	Customized Equipment (DME)
2	314000000X	Skilled Nursing Facility

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1083656847
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	THE METROHEALTH SYSTEM

Provider Business Mailing Address
First Line	:	4229 PEARL RD
Second Line	:	PFS DEPT ATTN LINDA GREENHILL PFS SPVR
City	:	CLEVELAND
State	:	OH
Zip	:	44109-1998
Country	:	US
Telephone Number	:	216-957-2442
Fax Number	:	216-957-2404

Provider Business Practice Location Address
First Line	:	3525 SCRANTON RD
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44109-1960
Country	:	US
Telephone Number	:	216-957-2442
Fax Number	:	216-957-2404

Authorized Official
Title or Position	:	EVP/CFO
Name	:	MR. DERRICK HOLLINGS
Credential	:
Telephone Number	:	216-778-7800

Provider Enumeration Date	:	06/13/2006
Last Update Date	:	05/09/2024

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Directions to “THE METROHEALTH SYSTEM ” Practice Location

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