MEDICARE: UNIVERSITY HOSPITALS HEALTH 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	261Q00000X	Clinic/Center

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	HB0405	OTHER	OH	MEDICARE HOME OFFICE PROVIDER NO

General Provider Information

NPI Number	:	1942387543
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	UNIVERSITY HOSPITALS HEALTH SYSTEM

Provider Business Mailing Address
First Line	:	3605 WARRENSVILLE CENTER RD
Second Line	:	MAILSTOP - MSC 9150
City	:	SHAKER HEIGHTS
State	:	OH
Zip	:	44122-5203
Country	:	US
Telephone Number	:	216-767-8793
Fax Number	:	246-767-8778

Provider Business Practice Location Address
First Line	:	3605 WARRENSVILLE CENTER RD
Second Line	:	MAILSTOP - MSC 9150
City	:	SHAKER HEIGHTS
State	:	OH
Zip	:	44122-5203
Country	:	US
Telephone Number	:	216-767-8793
Fax Number	:	246-767-8778

Authorized Official
Title or Position	:	VP & CORPORATE CONTROLLER
Name	:	MR. MICHAEL VEHOVEC
Credential	:
Telephone Number	:	216-767-8729

Provider Enumeration Date	:	11/01/2006
Last Update Date	:	02/03/2017

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Directions to “UNIVERSITY HOSPITALS HEALTH SYSTEM ” Practice Location

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