Organization
CLEVELAND REGIONAL MEDICAL CENTER LP
Active
Organization
CLEVELAND REGIONAL MEDICAL CENTER LP
Active
Parent organization
CLEVELAND REGIONAL MEDICAL CENTER LP
Other names
Cleveland Regional Medical Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
CLEVELAND REGIONAL MEDICAL CENTER LP
Authorized official
MICHAEL PORTACCI (SENIOR VP, GROUP OPERATIONS)
(888) 373-9600
Entity
Organization
Contact information
Practice address
300 E CROCKETT ST, CLEVELAND, TX 77327-4029
(281) 593-1811
(281) 432-4370
Mailing address
PO BOX 844833, DALLAS, TX 75284-4833
Taxonomy
Speciality
Code
Description
License number
State
275N00000X
Medicare Defined Swing Bed Hospital Unit
Primary
000108
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
HH0155
BCBS
—
Enumeration date
01/30/2006
Last updated
11/05/2007
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