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NPI Code Detail

MEDICARE: AIDS TASKFORCE OF GREATER CLEVELAND, INC.

MEDICARE: AIDS TASKFORCE OF GREATER CLEVELAND, INC.
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
1251V00000XVoluntary or Charitable AgencyN/AOH

General Provider Information

NPI Number : 1538119821
Entity Type Code : Organization
Provider Name (Legal Business Name) : AIDS TASKFORCE OF GREATER CLEVELAND, INC.
Provider Business Mailing Address
First Line : 3210 EUCLID AVE
Second Line :
City : CLEVELAND
State : OH
Zip : 44115-2510
Country : US
Telephone Number : 216-621-0766
Fax Number : 216-622-7788
Provider Business Practice Location Address
First Line : 3210 EUCLID AVE
Second Line :
City : CLEVELAND
State : OH
Zip : 44115-2510
Country : US
Telephone Number : 216-621-0766
Fax Number : 216-622-7788
Authorized Official
Title or Position : FINANCE DIRECTOR
Name : MR. MICHAEL H FLICKINGER
Credential : CPA
Telephone Number : 216-621-0766
Provider Enumeration Date : 05/10/2006
Last Update Date : 08/22/2020

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