MEDICARE: UNIVERSITY HOSPITALS CLEVELAND MEDICAL CENTER

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

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
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1518042175
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	UNIVERSITY HOSPITALS CLEVELAND MEDICAL CENTER

Provider Business Mailing Address
First Line	:	PO BOX 772930
Second Line	:
City	:	DETROIT
State	:	MI
Zip	:	48277-2930
Country	:	US
Telephone Number	:	216-844-8447
Fax Number	:

Provider Business Practice Location Address
First Line	:	11100 EUCLID AVE
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44106-1716
Country	:	US
Telephone Number	:	216-844-8447
Fax Number	:

Authorized Official
Title or Position	:	DIRECTOR, FP&A
Name	:	ANTHONY SCHILLERO
Credential	:
Telephone Number	:	216-767-8141

Provider Enumeration Date	:	10/25/2006
Last Update Date	:	04/29/2024

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Directions to “UNIVERSITY HOSPITALS CLEVELAND MEDICAL CENTER ” Practice Location

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