Organization
CLEVELAND CLINIC HEALTH SYSTEM - EAST REGION
Active
Organization
CLEVELAND CLINIC HEALTH SYSTEM - EAST REGION
Active
Other names
Huron Hospital
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STEVEN GLASS (CFO)
(216) 444-9361
Entity
Organization
Contact information
Practice address
13951 TERRACE RD, CLEVELAND, OH 44112-4308
(216) 761-3300
Mailing address
6801 BRECKSVILLE RD, SUITE 20 RK 10, INDEPENDENCE, OH 44131-5032
(216) 636-8052
(216) 636-8088
Taxonomy
Speciality
Code
Description
License number
State
273R00000X
Psychiatric Hospital Unit
Primary
1148
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000157025
ANTHEM
OH
01
—
0081812
AETNA
OH
01
—
100119
KAISER
OH
01
—
340714435-00
BUREAU WORKERS COMPENSATI
OH
05
—
4195517
—
OH
01
—
5000055
UNITED HEALTHCARE
OH
Enumeration date
05/19/2006
Last updated
01/12/2009
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