Organization
THE CLEVELAND CLINIC FOUNDATION
Active
Other names
Willoughby Hills FHC and ASC
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TIM LONGVILLE (CHIEF ACCOUNTING OFFICER)
(216) 636-7416
Entity
Organization
Contact information
Practice address
2550 SOM CENTER RD, WILLOUGHBY HILLS, OH 44094-9655
(440) 516-8620
(440) 516-8629
Mailing address
2570 SOM CENTER RD, WILLOUGHBY HILLS, OH 44094-9607
(216) 445-2362
(216) 445-0025
Taxonomy
Speciality
Code
Description
License number
State
3336C0002X
Clinic Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2674351
—
OH
01
—
3674668
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
09/20/2006
Last updated
01/07/2025
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