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CLEVELAND CLINIC FOUNDATION NPI 1003005869


NPI Profile

NPI: 1003005869
Provider Name: CLEVELAND CLINIC FOUNDATION

Doing Business As: CLEVELAND CLINIC INDEPENDENCE BROADVIEW HTS

Classification:Durable Medical Equipment & Medical Supplies - 332B00000X
Entity Type: Organization

CLIA Number: 36D1059625

Address:
2001 E ROYALTON RD
BROADVIEW HEIGHTS, OH
ZIP 44147
Get Directions

Phone: (440) 717-6125

CLEVELAND CLINIC FOUNDATION is a durable medical equipment medical supplies in Broadview Heights, OH. The provider is a supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time. CLEVELAND CLINIC FOUNDATION NPI is 1003005869. The provider is registered as an organization entity type.
The provider Is Doing Business As Cleveland Clinic Independence Broadview Hts.

The provider's business location address is:

2001 E ROYALTON RD
BROADVIEW HEIGHTS, OH
ZIP 44147-811
Phone: (440) 717-6125
Fax: (440) 717-6127

The provider's authorized official is Steven C Glass .
The authorized official title is Cfo and has the following contact phone number (216) 444-2575.

The CLIA number assigned to this NPI record is 36D1059625 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/17/2007 and was last updated on 10/14/2009.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1332B00000XDurable Medical Equipment & Medical SuppliesOHIOYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
10670140034MEDICARE NSCOHIO

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: 11/7/2021

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