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NPI Code Detail

MEDICARE: YMCA OF GREATER CLEVELAND

MEDICARE: YMCA OF GREATER CLEVELAND
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
1174H00000XHealth Educator
2324500000XSubstance Abuse Rehabilitation Facility6889OH

General Provider Information

NPI Number : 1295075018
Entity Type Code : Organization
Provider Name (Legal Business Name) : YMCA OF GREATER CLEVELAND
Provider Business Mailing Address
First Line : 1301 E 9TH ST FL 2
Second Line :
City : CLEVELAND
State : OH
Zip : 44114-1804
Country : US
Telephone Number : 216-263-6837
Fax Number : 216-781-1337
Provider Business Practice Location Address
First Line : 6001 WOODLAND AVE STE 703
Second Line :
City : CLEVELAND
State : OH
Zip : 44104-2775
Country : US
Telephone Number : 216-674-7700
Fax Number :
Authorized Official
Title or Position : BILLING MANAGER
Name : MR. MARK GALLEGOS
Credential :
Telephone Number : 440-871-6702
Provider Enumeration Date : 02/15/2013
Last Update Date : 03/19/2026

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Directions to “YMCA OF GREATER CLEVELAND ” Practice Location

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