# THE CLEVELAND CLINIC FOUNDATION

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** THE CLEVELAND CLINIC FOUNDATION
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1538587720
- **Legal business name:** THE CLEVELAND CLINIC FOUNDATION
- **Authorized official:** TIM LONGVILLE (CHIEF ACCOUNTING OFFICER)
- **Authorized official phone:** (216) 636-7416

## Contact information

- **Practice address:** 1730 W 25TH ST, CLEVELAND, OH 44113-3108
- **Practice address phone:** (216) 696-7055
- **Mailing address:** 9500 EUCLID AVE \# JJ10, CLEVELAND, OH 44195-0001
- **Mailing address phone:** (216) 444-6498
- **Mailing address fax:** (216) 445-0025

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | 022401650 | OH | Yes |

## Other

- **Enumeration date:** 04/03/2014
- **Last updated:** 01/09/2025
