Organization
ST VINCENT CHARITY MEDICAL CENTER
Active
Other names
St Vincent Charity Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN A RUSNACZYK (VP SCHS/CFO)
(216) 436-4653
Entity
Organization
Contact information
Practice address
2351 E 22ND ST, CLEVELAND, OH 44115-3111
(216) 861-6200
(440) 746-3405
Mailing address
6935 TREELINE DR STE J, BRECKSVILLE, OH 44141-3393
(440) 746-3401
(440) 746-3405
Taxonomy
Speciality
Code
Description
License number
State
276400000X
Substance Use Disorder Rehabilitation Hospital Unit
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0818
MACSIS
OH
Enumeration date
07/25/2006
Last updated
08/17/2012
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