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Organization

FAIRVIEW HOSPITAL

Active
Other names
Cleveland Clinic Foundation Fairview Hospital
Organization subpart
No

Provider details

NPI number
Authorized official
MR. STEVEN GLASS (CFO)
(216) 444-9361
Entity
Organization

Contact information

Practice address
18101 LORAIN AVE, CLEVELAND, OH 44111-5612
(216) 476-7000
Mailing address
6801 BRECKSVILLE RD, SUITE 20 RK10, INDEPENDENCE, OH 44131-5032
(216) 636-8051
(216) 636-8088

Taxonomy

Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
1145
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000216384
ANTHEM
01
0062685
AETNA
01
100127
KAISER
05
2633565
OH
01
5000023
UNITED HEALTHCARE
Enumeration date
05/23/2006
Last updated
05/09/2011
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