Organization
ST VINCENT CHARITY MEDICAL CENTER
Active
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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