NPIMap

Organization Active NPI

St Vincent Charity Medical Center

  • Substance Use Disorder Rehabilitation Hospital Unit
  • Cleveland, OH
National Provider Identifier
1083637912
Registry record updated Aug 17, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Hospital UnitTaxonomy code 276400000X
Legal business name
ST VINCENT CHARITY MEDICAL CENTER
Doing business as
St Vincent Charity Medical Center
Practice address
2351 E 22ND St
Cleveland, OH 44115-3111
Phone
(216) 861-6200
Fax
(440) 746-3405
NPI assigned
Jul 25, 2006
Reactivated
Aug 17, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2012

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

Authorized official

Name
Mr. John A Rusnaczyk
Title
VP SCHS/Cfo
Phone
(216) 436-4653

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Use Disorder Rehabilitation Hospital Unit 276400000X Primary

Addresses

Primary practice location

2351 E 22ND St
Cleveland, OH 44115-3111

Mailing address

6935 Treeline Dr Ste J
Brecksville, OH 44141-3393
Phone (440) 746-3401

Other identifiers 1

IdentifierTypeStateIssuer
0818OtherOHMACSIS

Other names 1

  • St Vincent Charity Medical Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
St Vincent Charity Medical Center7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

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": "1153785600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1345161600000",
    "number": "1083637912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6935 TREELINE DR STE J",
            "city": "BRECKSVILLE",
            "state": "OH",
            "postal_code": "441413393",
            "telephone_number": "440-746-3401",
            "fax_number": "440-746-3405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2351 E 22ND ST",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441153111",
            "telephone_number": "216-861-6200",
            "fax_number": "440-746-3405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST VINCENT CHARITY MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-25",
        "last_updated": "2012-08-17",
        "deactivation_date": "2008-12-16",
        "reactivation_date": "2012-08-17",
        "status": "A",
        "authorized_official_last_name": "RUSNACZYK",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "VP SCHS/CFO",
        "authorized_official_telephone_number": "216-436-4653",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "276400000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation, Substance Use Disorder Unit",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MACSIS",
            "identifier": "0818",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "St Vincent Charity Medical 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 Aug 17, 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.