Organization
ST VINCENT CHARITY MEDICAL CENTER
Active
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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