COLLABORATION STATION NPI 1790227155

NPI Information

NPI: 1790227155
Provider Name: COLLABORATION STATION
Classification: Voluntary or Charitable - 251V00000X
Entity Type: Organization
Address:
4614 PROSPECT AVE STE 325
CLEVELAND, OH
ZIP 44103
Phone: (216) 777-2136
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COLLABORATION STATION is a voluntary or charitable in Cleveland, OH. COLLABORATION STATION NPI is 1790227155. The provider is registered as an organization entity type.

The provider's business location address is:

4614 PROSPECT AVE STE 325
CLEVELAND, OH
ZIP 44103-377
Phone: (216) 777-2136

The provider's authorized official is Cheryl J Smith .
The authorized official title is Executive Director and has the following contact phone number (216) 777-2136.

The enumeration date for this NPI number is 11/16/2016 and was last updated on 3/17/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	251V00000X	Voluntary or Charitable		1310918	OHIO	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	0163026	MEDICAID	OHIO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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