Cleveland Clinic Foundation

Key facts

NPI

1003005869

Entity type

Organization (NPI type 2)

Primary specialty

Durable Medical Equipment & Medical Supplies 332B00000X

Legal business name

CLEVELAND CLINIC FOUNDATION

Practice address

2001 E Royalton Rd
Broadview Heights, OH 44147-2811

Phone

(440) 717-6125

Fax

(440) 717-6127

NPI assigned

Oct 17, 2007

Organization subpart

No

Authorized official

Name

Dan Medve

Title

Director

Phone

(216) 973-3321

Member of 2

Organizations this organization is a member of, according to the National Provider Directory.

• Cleveland Clinic Home Care Services Home Infusion Therapy Pharmacy · Independence, OH · NPI 1457381782
  NPD member Member Of
• Marymount Care Services LLC Internal Medicine Physician · Chagrin Falls, OH · NPI 1992958227
  NPD member Member Of

National Provider Directory

Specialties & licenses

Addresses

Other names

• Cleveland Clinic Independence Broadview Hts Doing business as

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jan 6, 2022.

{
    "created_epoch": "1192579200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1641427200000",
    "number": "1003005869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6000 W CREEK RD",
            "address_2": "SUITE 10",
            "city": "INDEPENDENCE",
            "state": "OH",
            "postal_code": "441312139",
            "telephone_number": "800-223-2273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 E ROYALTON RD",
            "city": "BROADVIEW HEIGHTS",
            "state": "OH",
            "postal_code": "441472811",
            "telephone_number": "440-717-6125",
            "fax_number": "440-717-6127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLEVELAND CLINIC FOUNDATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-17",
        "last_updated": "2022-01-06",
        "certification_date": "2022-01-06",
        "status": "A",
        "authorized_official_last_name": "MEDVE",
        "authorized_official_first_name": "DAN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "216-973-3321"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "OH",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cleveland Clinic Independence Broadview Hts",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Cleveland Clinic Independence Broadview Hts",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Kelly M Christean, PA-C, MS
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• Dawn Corrigan
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All providers in Broadview Heights, OH · Durable Medical Equipment & Medical Supplies in Ohio