| Kaiser Permanente | |
|
10 Severance Cir Cleveland Heights OH 44118-1533 | |
| (216) 265-8844 | |
| (216) 265-8890 |
| Full Name | Kaiser Permanente |
|---|---|
| Speciality | Clinic/center |
| Location | 10 Severance Cir, Cleveland Heights, Ohio |
| Authorized Official Name and Position | Craig Faerber (VP CFO) |
| Authorized Official Contact | 2162658844 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kaiser Permanente 12301 Snow Road Parma OH 44130 Ph: (216) 265-8844 | Kaiser Permanente 10 Severance Cir Cleveland Heights OH 44118-1533 Ph: (216) 265-8844 |
| NPI Number | 1699833608 |
|---|---|
| Provider Enumeration Date | 12/04/2006 |
| Last Update Date | 07/19/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699833608 | NPI | - | NPPES |
| 0211372 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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