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NPI Code Detail

MEDICARE: CLEVELAND CLINIC CHILDREN'S HOSPITAL FOR REHABILITATION

MEDICARE: CLEVELAND CLINIC CHILDREN'S HOSPITAL FOR REHABILITATION
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
1261QE0700XEnd-Stage Renal Disease (ESRD) Treatment Clinic/CenterOH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1538106794
Entity Type Code : Organization
Provider Name (Legal Business Name) : CLEVELAND CLINIC CHILDREN'S HOSPITAL FOR REHABILITATION
Provider Business Mailing Address
First Line : 6801 BRECKSVILLE RD
Second Line : STE 20 ATTN: DPC RK2-7
City : INDEPENDENCE
State : OH
Zip : 44131-5032
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2801 MARTIN LUTHER KING JR DR
Second Line :
City : CLEVELAND
State : OH
Zip : 44104-3815
Country : US
Telephone Number : 216-721-1494
Fax Number : 216-721-7144
Authorized Official
Title or Position : EXECUTIVE VP CHIEF FINANCE OFFICER
Name : DENNIS LARAWAY
Credential :
Telephone Number : 216-445-1343
Provider Enumeration Date : 05/31/2006
Last Update Date : 08/06/2025

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Directions to “CLEVELAND CLINIC CHILDREN'S HOSPITAL FOR REHABILITATION ” Practice Location

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