PRETERM CLEVELAND INC NPI 1326048182

NPI Information

NPI: 1326048182
Provider Name: PRETERM CLEVELAND INC
Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

CLIA Number: 36D0335934

Address:
12000 SHAKER BLVD
CLEVELAND, OH
ZIP 44120
Phone: (216) 991-4577
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PRETERM CLEVELAND INC is an ambulatory surgical clinic center in Cleveland, OH. PRETERM CLEVELAND INC NPI is 1326048182. The provider is registered as an organization entity type.

The provider's business location address is:

12000 SHAKER BLVD
CLEVELAND, OH
ZIP 44120-922
Phone: (216) 991-4577
Fax: (216) 991-4571

The provider's authorized official is Chrisse France .
The authorized official title is Executive Director and has the following contact phone number (216) 991-4577.

The CLIA number assigned to this NPI record is 36D0335934 - ambulatory surgery center with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 7/22/2005 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	261QA1903X	Clinic/Center	Ambulatory Surgical	0288AS	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	0234697	MEDICAID	OHIO

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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