# FAIRVIEW HOSPITAL

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Cleveland Clinic Foundation Fairview Hospital
- **Organization subpart:** No

## Provider details

- **NPI number:** 1407953706
- **Authorized official:** MR. TIMOTHY LONGVILLE (CHIEF ACCOUNTING OFFICER AND CONTRO)
- **Authorized official phone:** (216) 636-7416

## Contact information

- **Practice address:** 18101 LORAIN AVE, CLEVELAND, OH 44111-5612
- **Practice address phone:** (216) 448-0036
- **Practice address fax:** (216) 448-0617
- **Mailing address:** PO BOX 92903, CLEVELAND, OH 44194-2903
- **Mailing address phone:** (440) 808-3700
- **Mailing address fax:** (440) 808-3675

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163W00000X | Registered Nurse | — | NULL | — |
| 163W00000X | Registered Nurse | — | — | — |
| 207R00000X | Internal Medicine Physician | — | NULL | — |
| 207R00000X | Internal Medicine Physician | — | — | — |
| 207RC0000X | Cardiovascular Disease Physician | — | NULL | — |
| 207RC0000X | Cardiovascular Disease Physician | — | — | — |
| 207RH0003X | Hematology & Oncology Physician | — | NULL | — |
| 207RH0003X | Hematology & Oncology Physician | — | — | — |
| 207V00000X | Obstetrics & Gynecology Physician | — | NULL | Yes |
| 207V00000X | Obstetrics & Gynecology Physician | — | — | Yes |
| 208000000X | Pediatrics Physician | — | NULL | — |
| 208000000X | Pediatrics Physician | — | — | — |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | NULL | — |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | — | — |
| 208600000X | Surgery Physician | — | NULL | — |
| 208600000X | Surgery Physician | — | — | — |
| 2086S0122X | Plastic and Reconstructive Surgery Physician | — | NULL | — |
| 2086S0122X | Plastic and Reconstructive Surgery Physician | — | — | — |
| 363A00000X | Physician Assistant | — | NULL | — |
| 363A00000X | Physician Assistant | — | — | — |

## Other

- **Enumeration date:** 09/20/2006
- **Last updated:** 11/06/2019