CLEVELAND STATE UNIVERSITY HEALTH AND WELLNESS SERVICES NPI 1023090974

NPI Information

NPI: 1023090974
Provider Name: CLEVELAND STATE UNIVERSITY HEALTH AND WELLNESS SERVICES
Classification: Clinic/Center - 261QS1000X
Entity Type: Organization

Specialization: Student Health

Address:
2121 EUCLID AVE
UN 263
CLEVELAND, OH
ZIP 44115
Phone: (216) 687-3649
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CLEVELAND STATE UNIVERSITY HEALTH AND WELLNESS SERVICES is a student health clinic center in Cleveland, OH. CLEVELAND STATE UNIVERSITY HEALTH AND WELLNESS SERVICES NPI is 1023090974. The provider is registered as an organization entity type.

The provider's business location address is:

2121 EUCLID AVE
UN 263
CLEVELAND, OH
ZIP 44115-214
Phone: (216) 687-3649
Fax: (216) 687-9319

The provider's authorized official is Eileen Guttman .
The authorized official title is Supervisor and has the following contact phone number (216) 687-3649.

The enumeration date for this NPI number is 11/16/2005 and was last updated on 8/17/2018.

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	261QS1000X	Clinic/Center	Student Health			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	2329019	MEDICAID	OHIO
2	36D0874476	OTHER	OHIO	CLIA
3	=========	OTHER	OHIO	UNIVERSITY TAX ID #
4	02-0251800	OTHER	OHIO	PHARM LICENSE #

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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