Active NPI
Cleveland Clinic Foundation Fairview Hospital
- Rehabilitation Hospital Unit
- Cleveland, OH
National Provider Identifier
1275588766
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Hospital Unit
- License
- 1145
- Legal business name
- CLEVELAND CLINIC FOUNDATION FAIRVIEW HOSPITAL
- Practice address
- 18101 Lorain Ave
Cleveland, OH 44111-5612 - Phone
- (216) 476-7000
- NPI assigned
- May 23, 2006
- Last updated
- Apr 20, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Steven Glass
- Title
- Cfo
- Phone
- (216) 444-9361
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rehabilitation Hospital Unit | 273Y00000X | 1145 | OH | Primary |
Addresses
Primary practice location
18101 Lorain Ave
Cleveland, OH 44111-5612
Mailing address
6801 Brecksville Rd
Suite 20 RK10
Independence, OH 44131-5032
Phone (216) 636-8051
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2633565 | Medicaid | OH | |
| 100127 | Other | OH | KAISER |
| 5000023 | Other | UNITED HEALTHCARE | |
| 0017966 | Other | CHAMPUS | |
| 0062685 | Other | AETNA | |
| 000000075192 | Other | ANTHEM |
Other names 1
- Fairview Hospital
National Provider Directory
National Provider DirectoryMember of 2
Organizations this organization is a member of, according to the National Provider Directory.
-
dba Fairview Health Center Pharmacy
- Clinic Pharmacy
- Cleveland, OH
- NPI 1013090059
Member Of
-
dba Cleveland Clinic Orthapedics and Rheumatology at Hillcrest
- Durable Medical Equipment & Medical Supplies
- Mayfield HTS, OH
- NPI 1780991794
Member Of
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148342400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1208649600000",
"number": "1275588766",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6801 BRECKSVILLE RD",
"address_2": "SUITE 20 RK10",
"city": "INDEPENDENCE",
"state": "OH",
"postal_code": "441315032",
"telephone_number": "216-636-8051",
"fax_number": "216-636-8088"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18101 LORAIN AVE",
"city": "CLEVELAND",
"state": "OH",
"postal_code": "441115612",
"telephone_number": "216-476-7000"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CLEVELAND CLINIC FOUNDATION FAIRVIEW HOSPITAL",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-23",
"last_updated": "2008-04-20",
"status": "A",
"authorized_official_last_name": "GLASS",
"authorized_official_first_name": "STEVEN",
"authorized_official_title_or_position": "CFO",
"authorized_official_telephone_number": "216-444-9361",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "273Y00000X",
"taxonomy_group": "",
"desc": "Rehabilitation Unit",
"state": "OH",
"license": "1145",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2633565",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KAISER",
"identifier": "100127",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "5000023",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CHAMPUS",
"identifier": "0017966",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "0062685",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "000000075192",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Fairview Hospital",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Cleveland, OH
- Cleveland Clinic Foundation
- Cleveland Clinic Foundation
- Cleveland Clinic Foundation
- Cleveland Clinic Foundation
- Cleveland Clinic Foundation Fairview Hospital
- Cleveland Clinic Foundation Fairview Hospital
- Cleveland Clinic Foundation Fairview Hospital
- Cleveland Clinic Foundaton
- Cleveland Clinic Health Services Professional Association, Inc
- Cleveland Clinic Health System - East Region (Huron Hospital)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.