FAIRVIEW HOSPITAL NPI 1164643136

NPI Information

NPI: 1164643136
Provider Name: FAIRVIEW HOSPITAL
Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 36D0698449

Address:
18200 LORAIN AVE
CLEVELAND, OH
ZIP 44111
Phone: (216) 476-7086
Get Directions

FAIRVIEW HOSPITAL is a family medicine in Cleveland, OH. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. FAIRVIEW HOSPITAL NPI is 1164643136. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

18200 LORAIN AVE
CLEVELAND, OH
ZIP 44111-605
Phone: (216) 476-7086
Fax: (216) 476-7604

The provider's authorized official is Anuradha Bakshi .
The authorized official title is Resident and has the following contact phone number (216) 476-7086.

The CLIA number assigned to this NPI record is 36D0698449 - hospital with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 5/1/2007 and was last updated on 8/22/2020.

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	207Q00000X	Family Medicine		57011880	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	57011880	OTHER	OHIO	TEMPORARY 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: 4/28/2024

NPI Synchronization or Removal

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