Healthcare Provider Details

I. General information

NPI: 1043477904
Provider Name (Legal Business Name): THE METROHEALTH SYSTEM
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/19/2008
Last Update Date: 12/06/2021
Certification Date: 12/06/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4310 RICHMOND RD
CLEVELAND OH
44122-6106
US

IV. Provider business mailing address

2500 METROHEALTH DR ATTN LINDA GREENHILL PFS SUPERVISOR
CLEVELAND OH
44109-1900
US

V. Phone/Fax

Practice location:
  • Phone: 216-957-2442
  • Fax: 216-957-2408
Mailing address:
  • Phone: 216-957-2442
  • Fax: 216-957-2408

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number
License Number State

VIII. Authorized Official

Name: MRS. NANCY FISHER CRUM
Title or Position: VICE PRESIDENT CFO
Credential:
Phone: 216-775-5716