MEDICARE: THE METROHEALTH SYSTEM

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	333600000X	Pharmacy
2	3336C0003X	Community/Retail Pharmacy	PMY02098555003	OH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	2077478	OTHER		PK
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1750329264
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	THE METROHEALTH SYSTEM

Provider Business Mailing Address
First Line	:	2816 E 116TH ST
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44120-2111
Country	:	US
Telephone Number	:	216-957-4052
Fax Number	:	216-957-4051

Provider Business Practice Location Address
First Line	:	2816 E 116TH ST
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44120-2111
Country	:	US
Telephone Number	:	216-957-4052
Fax Number	:	216-957-4051

Authorized Official
Title or Position	:	EVP/CFO
Name	:	DERRICK HOLLINGS
Credential	:
Telephone Number	:	216-778-7800

Provider Enumeration Date	:	06/04/2006
Last Update Date	:	05/09/2024

Similar Medicare Providers

1750379343 — MR. ERROL DURONSLET RPH
Practice Location Address:

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1871570820 — MR. CHARLES BERNARD HOWARD PHARMD
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1962431734 — KAREN E KEA MD
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1184654683 — KATHRYN C GRADY CNP
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1386676849 — KATHLEEN M PULLEN CNM
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1992720254 — EZELLE HARRY WALKER MD
Practice Location Address:

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Directions to “THE METROHEALTH SYSTEM ” Practice Location

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