Organization
FAIRVIEW HOSPITAL
Active
Other names
Cleveland Clinic Foundation Fairview Hospital
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
18101 LORAIN AVE, CLEVELAND, OH 44111-5612
(216) 476-7000
Mailing address
6801 BRECKSVILLE RD, SUITE 20 , ATTN: DPC RK2-7, INDEPENDENCE, OH 44131-5032
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
1145
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0062685
AETNA
—
01
—
100127
KAISER
—
05
—
2633565
—
OH
01
—
5000023
UNITED HEALTHCARE
—
Enumeration date
05/16/2006
Last updated
07/29/2025
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