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ST VINCENT CHARITY MEDICAL CENTER NPI 1083637912


NPI Information

NPI: 1083637912
Provider Name: ST VINCENT CHARITY MEDICAL CENTER

Doing Business As: ST VINCENT CHARITY MEDICAL CENTER

Classification: Rehabilitation, Substance Use Disorder Unit - 276400000X
Entity Type: Organization
Address:
2351 E 22ND ST
CLEVELAND, OH
ZIP 44115
Phone: (216) 861-6200
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ST VINCENT CHARITY MEDICAL CENTER is a rehabilitation substance use disorder unit in Cleveland, OH. The provider is a distinct part of a hospital that provides medically monitored, interdisciplinary addiction-focused treatment to patients/clients who have psychoactive substance use disorders (commonly referred to as alcohol and drug abuse or substance abuse.) ST VINCENT CHARITY MEDICAL CENTER NPI is 1083637912. The provider is registered as an organization entity type.
The provider Is Doing Business As St Vincent Charity Medical Center.

The provider's business location address is:

2351 E 22ND ST
CLEVELAND, OH
ZIP 44115-111
Phone: (216) 861-6200
Fax: (440) 746-3405

The provider's authorized official is John A Rusnaczyk .
The authorized official title is Vp Schs/cfo and has the following contact phone number (216) 436-4653.

The enumeration date for this NPI number is 7/25/2006 and was last updated on 8/17/2012.


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
1276400000XRehabilitation, Substance Use Disorder UnitYes

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
10818OTHEROHIOMACSIS
2360037MEDICARE OSCAR/CERTIFICATIONOHIO

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: 4/28/2024

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