Active NPI
Medina Hospital
- Clinic Pharmacy
- Medina, OH
National Provider Identifier
1164855904
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic Pharmacy
- License
- 022335600
- 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 FOUNDATION
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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.
-
- Durable Medical Equipment & Medical Supplies
- Sheffield Village, OH
- NPI 1942405741
Member Of
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.