Organization
ST VINCENT CHARITY MEDICAL CENTER
Active
Other names
St Vincent Charity Occupational Health
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PATRICK MCMAHON (SENIOR VP & CFO)
(216) 875-4602
Entity
Organization
Contact information
Practice address
2475 E 22ND ST, SUITE 310, CLEVELAND, OH 44115-3221
(216) 363-2691
(440) 746-3405
Mailing address
6935 TREELINE DR, SUITE J, BRECKSVILLE, OH 44141-3393
(440) 746-3401
(440) 746-3405
Taxonomy
Speciality
Code
Description
License number
State
261QX0100X
Occupational Medicine Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
34189345202
BUREAU OF WORKERS' COMPEN
OH
Enumeration date
02/15/2006
Last updated
01/30/2015
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