CLEVELAND STATE UNIVERSITY NPI 1164704995

NPI Information

NPI: 1164704995
Provider Name: CLEVELAND STATE UNIVERSITY
Classification: Clinic/Center - 261QS1000X
Entity Type: Organization

Specialization: Student Health

Address:
2121 EUCLID AVE
CLEVELAND, OH
ZIP 44115
Phone: (216) 687-5287
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CLEVELAND STATE UNIVERSITY is a student health clinic center in Cleveland, OH. CLEVELAND STATE UNIVERSITY NPI is 1164704995. The provider is registered as an organization entity type.

The provider's business location address is:

2121 EUCLID AVE
CLEVELAND, OH
ZIP 44115-214
Phone: (216) 687-5287

The provider's authorized official is Chris Lacsamana .
The authorized official title is Head Athletics Trainer and has the following contact phone number (216) 687-5287.

The enumeration date for this NPI number is 9/19/2011 and was last updated on 9/19/2011.

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

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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