Healthcare Provider Details

I. General information

NPI: 1043619604
Provider Name (Legal Business Name): THE METROHEALTH SYSTEM
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/20/2014
Last Update Date: 08/12/2025
Certification Date: 08/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9885 ROCKSIDE RD STE 157
CLEVELAND OH
44125-6272
US

IV. Provider business mailing address

9885 ROCKSIDE RD STE 157
CLEVELAND OH
44125-6272
US

V. Phone/Fax

Practice location:
  • Phone: 216-957-4777
  • Fax: 216-957-4760
Mailing address:
  • Phone: 216-957-4777
  • Fax: 216-957-4760

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code3336M0002X
TaxonomyMail Order Pharmacy
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number022442650
License Number StateOH

VIII. Authorized Official

Name: BRANDON MARK DOPPELHEUER
Title or Position: DIRECTOR PHARMACY BUSINESS
Credential:
Phone: 216-778-8880