Active NPI
Preterm Cleveland Inc
- Ambulatory Surgical Clinic/Center
- Cleveland, OH
National Provider Identifier
1326048182
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- License
- 0288AS
- Legal business name
- PRETERM CLEVELAND INC
- Practice address
- 12000 Shaker Blvd
Cleveland, OH 44120-1922 - Phone
- (216) 991-4577
- Fax
- (216) 991-4571
- NPI assigned
- Jul 22, 2005
- Last updated
- Aug 22, 2020
- 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
- Ms. Chrisse France
- Title
- Executive Director
- Phone
- (216) 991-4577
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | 0288AS | OH | Primary |
Addresses
Primary practice location
12000 Shaker Blvd
Cleveland, OH 44120-1922
Mailing address
12000 Shaker Blvd
Cleveland, OH 44120-1922
Phone (216) 991-4577
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0234697 | Medicaid | OH |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 36D0335934 | Preterm Cleveland Inc | Certificate of waiver | Oct 9, 2027 |
National Provider Directory
National Provider DirectoryLocations
12000 Shaker Blvd
Cleveland, OH 44120
Phone (216) 991-4000
Interoperability endpoints
- justinlappen@pcic.allscriptsdirect.net
- mitchellreider@pcic.allscriptsdirect.net
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Advanced Practice Midwife
- Cleveland, OH
- NPI 1306256417
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121990400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1326048182",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12000 SHAKER BLVD",
"city": "CLEVELAND",
"state": "OH",
"postal_code": "441201922",
"telephone_number": "216-991-4577",
"fax_number": "216-991-4571"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12000 SHAKER BLVD",
"city": "CLEVELAND",
"state": "OH",
"postal_code": "441201922",
"telephone_number": "216-991-4577",
"fax_number": "216-991-4571"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PRETERM CLEVELAND INC",
"organizational_subpart": "NO",
"enumeration_date": "2005-07-22",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "FRANCE",
"authorized_official_first_name": "CHRISSE",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "216-991-4577",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "261QA1903X",
"taxonomy_group": "",
"desc": "Clinic/Center, Ambulatory Surgical",
"state": "OH",
"license": "0288AS",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0234697",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
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 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.