Organization
SPECIALTY HOSPITAL OF CLEVELAND, INC.
Active
Other names
Kindred Hospital - Cleveland - Gateway
Organization subpart
No
Provider details
NPI number
Authorized official
MARILYN A. WEAVER (ASSISTANT SECRETARY)
(502) 596-7563
Entity
Organization
Contact information
Practice address
2351 E 22ND ST, 7TH FLOOR, CLEVELAND, OH 44115-3111
(216) 592-2830
(216) 592-2831
Mailing address
680 S 4TH ST, K-LIVE 5 REIMBURSEMENT, LOUISVILLE, KY 40202-2407
(502) 596-4134
Taxonomy
Speciality
Code
Description
License number
State
282E00000X
Long Term Care Hospital
Primary
1434
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000309904
BLUE CROSS
OH
05
—
2420606
—
OH
Enumeration date
11/01/2006
Last updated
11/10/2016
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