Organization
CITY OF CLEVELAND DEPT. OF PUBLIC HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MATTHEW CARROLL JD (DIRECTOR OF HEALTH)
(216) 664-6790
Entity
Organization
Contact information
Practice address
9127 MILES AVE., MILES-BROADWAY HEALTH CENTER, ATTN: KATHY ROTHENBERG, CLEVELAND, OH 44105
(216) 664-2362
Mailing address
75 ERIEVIEW PLAZA, 2ND FLOOR, CLEVELAND, OH 44114
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0268197
—
OH
Enumeration date
11/06/2008
Last updated
11/06/2008
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