| Cleveland Clinic Health Services Professional Association, Inc | |
|
9500 Euclid Ave # Na4 Cleveland OH 44195 | |
| (216) 444-0200 | |
| Not Available |
| Full Name | Cleveland Clinic Health Services Professional Association, Inc |
|---|---|
| Speciality | General Practice |
| Location | 9500 Euclid Ave # Na4, Cleveland, Ohio |
| Authorized Official Name and Position | Timothy L. Longville (CHIEF ACCT OFFICER AND CONTROLLER) |
| Authorized Official Contact | 2166367416 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Cleveland Clinic Health Services Professional Association, Inc 6801 Brecksville Rd Ste 20 Mail Code Rk2-7 Independence OH 44131-5062 Ph: (216) 445-4857 | Cleveland Clinic Health Services Professional Association, Inc 9500 Euclid Ave # Na4 Cleveland OH 44195 Ph: (216) 444-0200 |
| NPI Number | 1770082471 |
|---|---|
| Provider Enumeration Date | 02/08/2018 |
| Last Update Date | 03/31/2022 |
| Medicare PECOS PAC ID | 3577813005 |
|---|---|
| Medicare Enrollment ID | O20180905000227 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770082471 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (Ohio) | Secondary |
| 208D00000X | General Practice | (Ohio) | Primary |
| Provider Name | Cecilia F Holden |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1235192022 PECOS PAC ID: 1557258696 Enrollment ID: I20150908001121 |
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