Organization
THE CLEVELAND CLINIC FOUNDATION
Active
Other names
Specialty/Home Delivery Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TIM LONGVILLE (CHIEF ACCOUNTING OFFICER AND CONTRO)
(216) 636-7416
Entity
Organization
Contact information
Practice address
3175 SCIENCE PARK DR, STE AC4-B100, BEACHWOOD, OH 44122-7327
(216) 448-4200
(216) 448-5603
Mailing address
9500 EUCLID AVE, AC5B-137, CLEVELAND, OH 44195-0001
(216) 448-4200
(216) 448-5603
Taxonomy
Speciality
Code
Description
License number
State
3336M0002X
Mail Order Pharmacy
Primary
02-200335003
OH
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3119815
—
OH
Enumeration date
11/09/2009
Last updated
01/09/2025
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up