MEDICARE: CLEVELAND CLINIC FOUNDATION

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	282NC2000X	Children's Hospital	57013957	OH

General Provider Information

NPI Number	:	1326215138
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CLEVELAND CLINIC FOUNDATION

Provider Business Mailing Address
First Line	:	44195 EUCLID AVE
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44195-0001
Country	:	US
Telephone Number	:	216-444-2200
Fax Number	:

Provider Business Practice Location Address
First Line	:	9500 EUCLID AVE
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44195-0001
Country	:	US
Telephone Number	:	216-444-9500
Fax Number	:

Authorized Official
Title or Position	:	PEDIATRIC INTERN
Name	:	DR. CAREY TAUTE
Credential	:	M.D.
Telephone Number	:	216-444-2200

Provider Enumeration Date	:	05/12/2008
Last Update Date	:	05/12/2008

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Directions to “CLEVELAND CLINIC FOUNDATION ” Practice Location

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