NPIMap

Organization Active NPI

St Vincent Charity Medical Center

Doing business as St Vincent Charity Community Health Center

  • Primary Care Clinic/Center
  • Cleveland, OH
National Provider Identifier
1083323687
Registry record updated Jan 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
ST VINCENT CHARITY MEDICAL CENTER
Doing business as
St Vincent Charity Community Health Center
Practice address
2475 E 22ND St Ste 120
Cleveland, OH 44115-3221
Phone
(216) 431-1500
Fax
(216) 431-7701
NPI assigned
Nov 22, 2022
Last updated
Jan 16, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2025

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

Authorized official

Name
Theresa Wrabel
Title
Finance Director
Phone
(216) 363-3000

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NU
Internal Medicine Physician 207R00000X NU
Primary Care Clinic/Center 261QP2300X NU Primary
Primary Care Nurse Practitioner 363LP2300X NU

Addresses

Primary practice location

2475 E 22ND St Ste 120
Cleveland, OH 44115-3221

Mailing address

PO Box 932004
Cleveland, OH 44193-0007
Phone (216) 363-2570

Other practice location 1

2475 E 22nd St Fl 4
Cleveland, OH 44115-3209
Phone (216) 363-2570

Other names 1

  • St Vincent Charity Community Health Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100626000223 OH Part B Supplier - Clinic/Group Practice 2860535978 Receives reassigned benefits from 16 practitioners
4 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Cleveland, OH

Other NPIs on the same Medicare enrollment 4

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

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.

Locations

2475 E 22nd St
Fl 4
Cleveland, OH 44115
Phone (216) 363-2570

33001 Solon Rd
Solon, OH 44139
Phone (440) 349-2273

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1669075200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736985600000",
    "number": "1083323687",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 932004",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441930007",
            "telephone_number": "216-363-2570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2475 E 22ND ST STE 120",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441153221",
            "telephone_number": "216-431-1500",
            "fax_number": "216-431-7701"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2475 E 22nd St Fl 4",
            "address_purpose": "LOCATION",
            "city": "Cleveland",
            "state": "OH",
            "postal_code": "441153209",
            "country_code": "US",
            "telephone_number": "216-363-2570",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ST VINCENT CHARITY MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-22",
        "last_updated": "2025-01-16",
        "certification_date": "2025-01-16",
        "status": "A",
        "authorized_official_last_name": "WRABEL",
        "authorized_official_first_name": "THERESA",
        "authorized_official_title_or_position": "FINANCE DIRECTOR",
        "authorized_official_telephone_number": "216-363-3000"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "St Vincent Charity Community Health Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "St Vincent Charity Community Health Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.