CLEVELAND CLINIC CHILDREN'S HOSPITAL FOR REHABILITATION NPI 1538106794

NPI Information

CLEVELAND CLINIC CHILDREN'S HOSPITAL FOR REHABILITATION is an end-stage renal disease (esrd) treatment clinic center in Cleveland, OH. CLEVELAND CLINIC CHILDREN'S HOSPITAL FOR REHABILITATION NPI is 1538106794. The provider is registered as an organization entity type.
The provider Other Name Is Children's Hospital Nephrology & Dialysis Center.

The provider's business location address is:

2801 MARTIN LUTHER KING JR DR
CLEVELAND, OH
ZIP 44104-815
Phone: (216) 721-1494
Fax: (216) 721-7144

The provider's authorized official is Daniel Medve .
The authorized official title is Director and has the following contact phone number (216) 973-3321.

The CLIA number assigned to this NPI record is 36D1062932 - other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/31/2006 and was last updated on 2/3/2022.

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:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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