Healthcare Provider Details

I. General information

NPI: 1588870737
Provider Name (Legal Business Name): METROHEALTH MEDICAL CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/15/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2500 METROHEALTH DR R131
CLEVELAND OH
44109-1900
US

IV. Provider business mailing address

2500 METROHEALTH DR R131
CLEVELAND OH
44109-1900
US

V. Phone/Fax

Practice location:
  • Phone: 216-931-1300
  • Fax:
Mailing address:
  • Phone: 216-931-1300
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code282N00000X
TaxonomyGeneral Acute Care Hospital
License NumberRN 259900
License Number StateOH

VIII. Authorized Official

Name: ROSANNE RADZIEWICZ
Title or Position: PSYCHIATRIC APN
Credential: APRN, BC
Phone: 216-778-4120