Organization
ST VINCENT CHARITY MEDICAL CENTER
Active
Parent organization
ST. VINCENT CHARITY MEDICAL CENTER
Other names
St Vincent Charity Medical Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
ST. VINCENT CHARITY MEDICAL CENTER
Authorized official
MR. PATRICK MCMAHON (SENIOR VP & CFO)
(216) 875-4602
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, SUITE J, BRECKSVILLE, OH 44141-3393
(440) 746-3401
(440) 746-3405
Taxonomy
Speciality
Code
Description
License number
State
273R00000X
Psychiatric Hospital Unit
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
341893452002
CHAMPUS
—
01
—
341893452006
MEDICAL MUTUAL OF OHIO
OH
Enumeration date
02/17/2006
Last updated
05/05/2010
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