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	261QF0400X	Federally Qualified Health Center (FQHC)

General Provider Information

NPI Number	:	1861245417
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	THE METROHEALTH SYSTEM

Provider Business Mailing Address
First Line	:	13263 CEDAR RD
Second Line	:
City	:	CLEVELAND HEIGHTS
State	:	OH
Zip	:	44118-2926
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	13263 CEDAR RD
Second Line	:
City	:	CLEVELAND HEIGHTS
State	:	OH
Zip	:	44118-2926
Country	:	US
Telephone Number	:	216-778-7800
Fax Number	:

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

Provider Enumeration Date	:	04/11/2024
Last Update Date	:	05/09/2024

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Directions to “THE METROHEALTH SYSTEM ” Practice Location

Language	Start Address	Practice Location

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