Organization
CLEVELAND CLINIC FOUNDATION FAIRVIEW HOSPITAL
Active
Other names
Fairview Hospital
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STEVEN GLASS (CFO)
(216) 444-9361
Entity
Organization
Contact information
Practice address
18101 LORAIN AVE, CLEVELAND, OH 44111-5612
(216) 476-7000
Mailing address
6801 BRECKSVILLE RD, SUITE 20 RK10, INDEPENDENCE, OH 44131-5032
(216) 636-8051
(216) 636-8088
Taxonomy
Speciality
Code
Description
License number
State
273Y00000X
Rehabilitation Hospital Unit
Primary
1145
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000075192
ANTHEM
—
01
—
0017966
CHAMPUS
—
01
—
0062685
AETNA
—
01
—
100127
KAISER
OH
05
—
2633565
—
OH
01
—
5000023
UNITED HEALTHCARE
—
Enumeration date
05/23/2006
Last updated
04/20/2008
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