Organization Active NPI

St Vincent Charity Medical Center

  • General Acute Care Hospital
  • Cleveland, OH
National Provider Identifier
1053682690
Registry record updated Jan 13, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
57019192 Issued in OH
Legal business name
ST VINCENT CHARITY MEDICAL CENTER
Practice address
1700 E 13TH St Apt 21X
Cleveland, OH 44114-3223
Phone
(248) 420-9744
NPI assigned
Jan 12, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Keyvan Ravakahn, M.D
Title
Program Director
Phone
(216) 363-2715

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X 57019192 OH Primary

Addresses

Primary practice location

1700 E 13TH St Apt 21X
Cleveland, OH 44114-3223

Mailing address

1700 E 13TH St Apt 21X
Cleveland, OH 44114-3223
Phone (248) 420-9744

National Provider Directory

National Provider Directory
Tax ID family
Critcal Care Associates9 organizations share this tax ID, including this one

Other organizations with this tax ID 8

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1326326400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326412800000",
    "number": "1053682690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 E 13TH ST APT 21X",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441143223",
            "telephone_number": "248-420-9744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 E 13TH ST APT 21X",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441143223",
            "telephone_number": "248-420-9744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST VINCENT CHARITY MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-12",
        "last_updated": "2012-01-13",
        "status": "A",
        "authorized_official_last_name": "RAVAKAHN",
        "authorized_official_first_name": "KEYVAN",
        "authorized_official_title_or_position": "PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "216-363-2715",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "OH",
            "license": "57019192",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleveland, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.