MEDICARE: CLEVELAND CLINIC FOUNDATION

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	332B00000X	Durable Medical Equipment & Medical Supplies		OH

General Provider Information

NPI Number	:	1003005869
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CLEVELAND CLINIC FOUNDATION

Provider Business Mailing Address
First Line	:	6000 W CREEK RD
Second Line	:	SUITE 10
City	:	INDEPENDENCE
State	:	OH
Zip	:	44131-2139
Country	:	US
Telephone Number	:	800-223-2273
Fax Number	:

Provider Business Practice Location Address
First Line	:	2001 E ROYALTON RD
Second Line	:
City	:	BROADVIEW HEIGHTS
State	:	OH
Zip	:	44147-2811
Country	:	US
Telephone Number	:	440-717-6125
Fax Number	:	440-717-6127

Authorized Official
Title or Position	:	DIRECTOR
Name	:	DAN MEDVE
Credential	:
Telephone Number	:	216-973-3321

Provider Enumeration Date	:	10/17/2007
Last Update Date	:	01/06/2022

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Directions to “CLEVELAND CLINIC FOUNDATION ” Practice Location

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