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Organization

LUTHERAN HOSPITAL

Active
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
1730 W 25TH ST, CLEVELAND, OH 44113-3108
(216) 696-4300
Mailing address
6801 BRECKSVILLE RD, SUITE 20, ATTN: DPC RK2-7, INDEPENDENCE, OH 44131-5062

Taxonomy

Speciality
Code
Description
License number
State
273R00000X
Psychiatric Hospital Unit
Primary
1149
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000074006
ANTHEM
01
0064535
AETNA
01
100135
KAISER
01
5381656
UNITED HEALTHCARE
Enumeration date
06/03/2006
Last updated
08/25/2025
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