STELLA MARIS INC. NPI 1750911376

NPI Information

NPI: 1750911376
Provider Name: STELLA MARIS, INC.
Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

CLIA Number: 36D2022826

Address:
1320 WASHINGTON AVE
CLEVELAND, OH
ZIP 44113
Phone: (216) 727-2086
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STELLA MARIS, INC. is a primary care clinic center in Cleveland, OH. STELLA MARIS, INC. NPI is 1750911376. The provider is registered as an organization entity type.

The provider's business location address is:

1320 WASHINGTON AVE
CLEVELAND, OH
ZIP 44113-333
Phone: (216) 727-2086
Fax: (216) 771-1563

The provider's authorized official is Sandy Gacek .
The authorized official title is Emr Administrator and has the following contact phone number (216) 727-2086.

The CLIA number assigned to this NPI record is 36D2022826 - other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/23/2020 and was last updated on 1/23/2020.

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	261QP2300X	Clinic/Center	Primary Care			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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