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Organization
CLEVELAND CLINIC CHILDREN'S HOSPITAL FOR REHABILITATION
Active
Organization
CLEVELAND CLINIC CHILDREN'S HOSPITAL FOR REHABILITATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DENNIS LARAWAY (EXECUTIVE VP CHIEF FINANCE OFFICER)
(216) 445-1343
Entity
Organization
Contact information
Practice address
2801 MARTIN LUTHER KING JR DR, CLEVELAND, OH 44104-3815
(216) 721-5400
(216) 721-4590
Mailing address
6801 BRECKSVILLE RD, STE 20 ATTN: DPC RK2-7, INDEPENDENCE, OH 44131-5062
Taxonomy
Speciality
Code
Description
License number
State
283XC2000X
Children's Rehabilitation Hospital
Primary
174
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000076301
ANTHEM BLUE CROSS
OH
01
—
0521879
AETNA
OH
01
—
100113
KAISER
OH
05
—
3779620
—
OH
01
—
5000158
UNITED HEALTHCARE
OH
Enumeration date
05/17/2006
Last updated
08/06/2025
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