Organization
CLEVELAND REGIONAL MEDICAL CENTER, LP
Active
Other names
Cleveland Regional Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
RAVI MOPARTY M.D. (PRESIDENT)
(832) 381-8299
Entity
Organization
Contact information
Practice address
300 EAST CROCKETT, CLEVELAND, TX 77327-4029
(281) 593-1811
(281) 605-4563
Mailing address
300 EAST CROCKETT, CLEVELAND, TX 77327-4029
(281) 593-1811
(281) 605-4563
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
000108
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0485331
AETNA
—
01
—
137279905
COMMUNITY HEALTH CHOICE
—
05
—
137279905
—
TX
01
—
55767
AMERIGROUP
—
01
—
HH0155
BCBS
—
Enumeration date
01/27/2006
Last updated
05/21/2014
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