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NPI Code Detail

MEDICARE: CLEVELAND CLINIC FOUNDATION

MEDICARE: CLEVELAND CLINIC FOUNDATION
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
1282N00000XGeneral Acute Care HospitalOH

General Provider Information

NPI Number : 1891091559
Entity Type Code : Organization
Provider Name (Legal Business Name) : CLEVELAND CLINIC FOUNDATION
Provider Business Mailing Address
First Line : 1127 EUCLID AVE APT 1422
Second Line :
City : CLEVELAND
State : OH
Zip : 44115-1617
Country : US
Telephone Number : 347-641-0812
Fax Number :
Provider Business Practice Location Address
First Line : 1127 EUCLID AVE
Second Line : APARTMENT 1422
City : CLEVELAND
State : OH
Zip : 44115-1601
Country : US
Telephone Number : 347-641-0812
Fax Number :
Authorized Official
Title or Position : PROGRAM DIRECTOR
Name : DR. MELLAR DAVIS
Credential : M.D
Telephone Number : 216-444-2200
Provider Enumeration Date : 01/28/2011
Last Update Date : 05/04/2012

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Directions to “CLEVELAND CLINIC FOUNDATION ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.