Healthcare Provider Details

I. General information

NPI: 1346034535
Provider Name (Legal Business Name): WATSON COMMUNITY HEALTH CENTRE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/04/2025
Last Update Date: 04/04/2025
Certification Date: 04/04/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16603 HARVARD AVE
CLEVELAND OH
44128-2203
US

IV. Provider business mailing address

16603 HARVARD AVE
CLEVELAND OH
44128-2203
US

V. Phone/Fax

Practice location:
  • Phone: 216-999-7444
  • Fax: 216-999-7034
Mailing address:
  • Phone: 216-999-7444
  • Fax: 216-999-7034

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code163WW0000X
TaxonomyWound Care Registered Nurse
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code363LG0600X
TaxonomyGerontology Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: YALEITA RENEE WATSON
Title or Position: CEO
Credential: FNP
Phone: 216-999-7444