Organization
LUTHERAN HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DENNIS LARAWAY (EXECUTIVE VP CHIEF FINANCE OFFICER)
(216) 445-1343
Entity
Organization
Contact information
Practice address
1730 W 25TH ST, CLEVELAND, OH 44113-3108
(216) 696-4300
Mailing address
6801 BRECKSVILLE RD, STE 20, ATTN: DPC RK2-7, INDEPENDENCE, OH 44131-5062
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
1149
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000074006
ANTHEM
—
01
—
0064535
AETNA
—
01
—
100135
KAISER
—
01
—
5000041
UNITED HEALTHCARE
—
05
—
5345406
—
OH
Enumeration date
06/03/2006
Last updated
08/05/2025
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