# LOUIS STOKES VA MEDICAL CENTER

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

## Provider details

- **NPI number:** 1871742130
- **Authorized official:** SUSAN PETRAK (MANAGEMENT AND PROGRAM ANALYST)
- **Authorized official phone:** (216) 791-3800

## Contact information

- **Practice address:** 10701 EAST BLVD, CLEVELAND, OH 44106-1702
- **Practice address phone:** (216) 791-3800
- **Mailing address:** 34426 PUTH DR, AVON, OH 44011-1916
- **Mailing address phone:** (440) 396-5461

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2865M2000X | Military General Acute Care Hospital | 59.000233 | OH | Yes |

## Other

- **Enumeration date:** 09/11/2008
- **Last updated:** 09/11/2008