MEDICARE: CLEVELAND CLINIC MERCY HOSPITAL

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	261QD0000X	Dental Clinic/Center

General Provider Information

NPI Number	:	1023362100
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CLEVELAND CLINIC MERCY HOSPITAL

Provider Business Mailing Address
First Line	:	6801 BRECKSVILLE RD
Second Line	:	STE 20, ATTN: DPC RK2-7
City	:	INDPENDENCE
State	:	OH
Zip	:	44131-5062
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1459 SUPERIOR AVE NE
Second Line	:
City	:	CANTON
State	:	OH
Zip	:	44705-1964
Country	:	US
Telephone Number	:	330-588-4893
Fax Number	:	330-453-2793

Authorized Official
Title or Position	:	EXECUTIVE VP CHIEF FINANCE OFFICER
Name	:	MR. DENNIS LARAWAY
Credential	:
Telephone Number	:	330-445-1343

Provider Enumeration Date	:	10/29/2012
Last Update Date	:	08/25/2025

Similar Medicare Providers

1174831218 — CANTON PHYSICAL MEDICARE, LLC
Practice Location Address:

2050 CUMMING HWY , SUITE 100
CANTON, GA
30114-8614

Practice Phone: 770-345-9600
Practice Fax:

1659376309 — LAMBERTO T GALANG M.D.
Practice Location Address:

1459 SUPERIOR AVE NE
CANTON, OH
44705-1964

Practice Phone: 330-588-4892
Practice Fax: 330-588-4895

1841521564 — KATHLEEN A LEE-OLES CNP
Practice Location Address:

1459 SUPERIOR AVE NE
CANTON, OH
44705-1964

Practice Phone: 330-588-4892
Practice Fax: 330-588-4895

1093640294 — PURPLE HEARTS FOUNDATION OF CARE LLC
Practice Location Address:

2241 16TH ST NE
CANTON, OH
44705-2001

Practice Phone: 330-915-0049
Practice Fax:

1396740809 — LEONARD C SEDON D.D.S., M.A.G.D.
Practice Location Address:

4141 MARTINDALE RD NE
CANTON, OH
44705-2727

Practice Phone: 330-493-0300
Practice Fax: 330-493-3435

1669470977 — DIAMED, INC.
Practice Location Address:

3670 PROGRESS ST NE
CANTON, OH
44705-4438

Practice Phone: 330-588-8966
Practice Fax: 330-588-8179

Directions to “CLEVELAND CLINIC MERCY HOSPITAL ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.