MEDICARE: CLEVELAND MUNICIPAL SCHOOL DISTRICT

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	251300000X	Local Education Agency (LEA)

General Provider Information

NPI Number	:	1184833162
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CLEVELAND MUNICIPAL SCHOOL DISTRICT

Provider Business Mailing Address
First Line	:	1111 SUPERIOR AVE E FL 19
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44114-2507
Country	:	US
Telephone Number	:	216-838-0391
Fax Number	:

Provider Business Practice Location Address
First Line	:	1111 SUPERIOR AVE E FL 19
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44114-2507
Country	:	US
Telephone Number	:	216-838-0391
Fax Number	:

Authorized Official
Title or Position	:	CHIEF FINANCIAL OFFICER
Name	:	MR. ROBERT KEVIN STOCKDALE
Credential	:
Telephone Number	:	216-838-0391

Provider Enumeration Date	:	05/22/2007
Last Update Date	:	04/29/2025

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Directions to “CLEVELAND MUNICIPAL SCHOOL DISTRICT ” Practice Location

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