# CLEVELAND CLINIC FOUNDATION FAIRVIEW HOSPITAL

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1548367840
- **Authorized official:** BRADLEY W RAUH (VP)
- **Authorized official phone:** (216) 448-0036

## Contact information

- **Practice address:** 18101 LORAIN AVE, CLEVELAND, OH 44111-5612
- **Practice address phone:** (216) 476-4051
- **Practice address fax:** (216) 476-1017
- **Mailing address:** PO BOX 71242, CLEVELAND, OH 44191-0001
- **Mailing address phone:** (440) 808-3700
- **Mailing address fax:** (440) 808-3675

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207VM0101X | Maternal & Fetal Medicine Physician | — | NULL | Yes |
| 207VM0101X | Maternal & Fetal Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 09/20/2006
- **Last updated:** 04/22/2008