Organization Active NPI

The Metrohealth System

  • Community Health Clinic/Center
  • Cleveland, OH
National Provider Identifier
1093072993
Registry record updated May 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health Clinic/CenterTaxonomy code 261QC1500X
Legal business name
THE METROHEALTH SYSTEM
Practice address
2500 Metrohealth Drive
Cleveland, OH 44109-1998
Phone
(216) 957-2442
Fax
(216) 957-2404
NPI assigned
Apr 16, 2012
Last updated
May 9, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
THE METROHEALTH SYSTEMAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 9, 2024

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

Authorized official

Name
Mr. Derrick Hollings
Title
Evp/Cfo
Phone
(216) 778-7800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Clinic/Center 261QC1500X NU Primary

Addresses

Primary practice location

2500 Metrohealth Drive
Cleveland, OH 44109-1998

Mailing address

2500 Metrohealth Dr
Cleveland, OH 44109-1900

Other identifiers 1

IdentifierTypeStateIssuer
2864173MedicaidOH

Other names 1

  • METROHEALTH MEDICAL CENTER Other name

National Provider Directory

National Provider Directory
Tax ID family
Metrohealth Inpatient M38 organizations share this tax ID, including this one
Part of
Metrohealth Inpatient M

Other organizations with this tax ID 37

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

View all 37

Locations

4229 Pearl Rd
#22020
Cleveland, OH 44109

NPI Registry JSON

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

{
    "created_epoch": "1334534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715212800000",
    "number": "1093072993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 METROHEALTH DR",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441091900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 METROHEALTH DRIVE",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441091998",
            "telephone_number": "216-957-2442",
            "fax_number": "216-957-2404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE METROHEALTH SYSTEM",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "THE METROHEALTH SYSTEM",
        "enumeration_date": "2012-04-16",
        "last_updated": "2024-05-09",
        "certification_date": "2024-05-09",
        "status": "A",
        "authorized_official_last_name": "HOLLINGS",
        "authorized_official_first_name": "DERRICK",
        "authorized_official_title_or_position": "EVP/CFO",
        "authorized_official_telephone_number": "216-778-7800",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2864173",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "METROHEALTH MEDICAL CENTER",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "METROHEALTH MEDICAL CENTER",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 May 9, 2024; 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.