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Organization
FAIRVIEW HOSPITAL
Active
Organization
FAIRVIEW HOSPITAL
Active
Other names
Cleveland Clinic Foundation Fairview Hospital
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
18101 LORAIN AVE, CLEVELAND, OH 44111-5612
(216) 476-7000
Mailing address
6801 BRECKSVILLE RD, SUITE 20 , ATTN: DPC RK2-7, INDEPENDENCE, OH 44131-5032
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
1145
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0062685
AETNA
—
01
—
100127
KAISER
—
05
—
2633565
—
OH
01
—
5000023
UNITED HEALTHCARE
—
Enumeration date
05/16/2006
Last updated
07/29/2025
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