Organization
UNIVERSITY SUBURBAN HEALTH CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES R ABBEY (EXECUTIVE DIRECTOR)
(216) 297-2032
Entity
Organization
Contact information
Practice address
1611 SOUTH GREEN ROAD, SUITE 016, SOUTH EUCLID, OH 44121-4129
(216) 382-8920
(216) 382-1684
Mailing address
1611 SOUTH GREEN ROAD, SUITE 009, SOUTH EUCLID, OH 44121-4129
(216) 382-8920
(216) 382-1684
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
—
—
261QM1200X
Magnetic Resonance Imaging (MRI) Clinic/Center
—
—
261QR0200X
Radiology Clinic/Center
Primary
—
—
261QR0206X
Mammography Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0686459
—
OH
Enumeration date
05/16/2006
Last updated
09/14/2011
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