Organization
CLEVELAND CLINIC HEALTH SYSTEM - EAST REGION
Active
Other names
Hillcrest Hospital
Organization subpart
No
Provider details
NPI number
Authorized official
DENNIS LARAWAY (EXECUTIVE VP CHIEF FINANCE OFFICER)
(216) 445-1343
Entity
Organization
Contact information
Practice address
6780 MAYFIELD RD, MAYFIELD HTS, OH 44124-2203
(440) 312-4500
Mailing address
6801 BRECKSVILLE RD, STE 20 ATTN: DPC RK2-7, INDEPENDENCE, OH 44131-5032
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
1019
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000157024
ANTHEM
OH
05
—
0089998
—
OH
01
—
0668077
AETNA INSURANCE
OH
01
—
100121
KAISER
OH
01
—
341235593-00
BUREAU WORKERS COMPENSATI
OH
01
—
5000054
UNITED HEALTHCARE
OH
Enumeration date
05/16/2006
Last updated
07/31/2025
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