Organization
THE CLEVELAND CLINIC FOUNDATION
Active
Parent organization
THE CLEVELAND CLINIC FOUNDATION
Organization subpart
Yes
Provider details
NPI number
Legal business name
THE CLEVELAND CLINIC FOUNDATION
Authorized official
TIM LONGVILLE (CHIEF ACCOUNTING OFFICER)
(216) 636-7416
Entity
Organization
Contact information
Practice address
1730 W 25TH ST, CLEVELAND, OH 44113-3108
(216) 696-7055
Mailing address
9500 EUCLID AVE # JJ10, CLEVELAND, OH 44195-0001
(216) 444-6498
(216) 445-0025
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
022401650
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0103365
—
OH
Enumeration date
04/03/2014
Last updated
01/09/2025
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