Organization Active NPI

Medina Hospital

  • Clinic Pharmacy
  • Medina, OH
National Provider Identifier
1164855904
Registry record updated Jan 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic PharmacyTaxonomy code 3336C0002X
License
022335600 Issued in OH
Legal business name
MEDINA HOSPITAL
Practice address
1000 E. Washington STR
Medina, OH 44256
Phone
(330) 721-5490
Fax
(330) 721-5495
NPI assigned
Aug 15, 2013
Organization subpart
Yes
Parent organization
THE CLEVELAND CLINIC FOUNDATIONAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 7, 2025

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

Authorized official

Name
Tim Longville
Title
Chief Accounting Officer
Phone
(216) 636-7416

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic Pharmacy 3336C0002X 022335600 OH Primary

Addresses

Primary practice location

1000 E. Washington STR
Medina, OH 44256

Mailing address

9500 Euclid Avenue JJ10
Cleveland, OH 44195-2170
Phone (216) 445-2357

Other names 1

  • CCF Medina Ambulatory Pharmacy Doing business as

National Provider Directory

National Provider Directory
Part of
Dept of Thorcardiovas

Member of 1

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

NPI Registry JSON

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

{
    "created_epoch": "1376524800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736208000000",
    "number": "1164855904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9500 EUCLID AVENUE JJ10",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441952170",
            "telephone_number": "216-445-2357",
            "fax_number": "216-445-0025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 E. WASHINGTON STR",
            "city": "MEDINA",
            "state": "OH",
            "postal_code": "44256",
            "telephone_number": "330-721-5490",
            "fax_number": "330-721-5495"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDINA HOSPITAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "THE CLEVELAND CLINIC FOUNDATION",
        "enumeration_date": "2013-08-15",
        "last_updated": "2025-01-07",
        "certification_date": "2025-01-07",
        "status": "A",
        "authorized_official_last_name": "LONGVILLE",
        "authorized_official_first_name": "TIM",
        "authorized_official_title_or_position": "CHIEF ACCOUNTING OFFICER",
        "authorized_official_telephone_number": "216-636-7416"
    },
    "taxonomies": [
        {
            "code": "3336C0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Clinic Pharmacy",
            "state": "OH",
            "license": "022335600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CCF Medina Ambulatory Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "CCF Medina Ambulatory Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Medina, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2025; 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.