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Organization Active NPI

The Cleveland Clinic Foundation

Doing business as Willoughby Hills FHC and ASC

  • Clinic Pharmacy
  • Willoughby Hills, OH
National Provider Identifier
1346348091
Registry record updated Jan 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic PharmacyTaxonomy code 3336C0002X
Legal business name
THE CLEVELAND CLINIC FOUNDATION
Doing business as
Willoughby Hills FHC and ASC
Practice address
2550 Som Center Rd
Willoughby Hills, OH 44094-9655
Phone
(440) 516-8620
Fax
(440) 516-8629
NPI assigned
Sep 20, 2006
Last updated
Jan 7, 2025By the provider in NPPES
Organization subpart
No

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic Pharmacy 3336C0002X NU Primary

Addresses

Primary practice location

2550 Som Center Rd
Willoughby Hills, OH 44094-9655

Mailing address

2570 Som Center Rd
Willoughby Hills, OH 44094-9607
Phone (216) 445-2362

Other identifiers 2

IdentifierTypeStateIssuer
2674351MedicaidOH
3674668OtherNCPDP PROVIDER IDENTIFICATION NUMBER

Other names 1

  • Willoughby Hills FHC and ASC Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930043714 OH DME Supplier - Pharmacy 1850203555 Practice locations: Willoughby Hills, OH

Other NPIs with the same Medicare PAC ID 13

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

View all 13

National Provider Directory

National Provider Directory
Tax ID family
CCF Ophthalmology229 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

Member of 2

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

Locations

2570 Som Center Rd
Willoughby Hills, OH 44094
Phone (440) 943-2500

Ownership & related parties

All facility ownership & control disclosures 32

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
South Pointe HospitalWarrensville Heights, OH, CCN 360144 Hospital 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)		 Feb 7, 1997
Feb 7, 1997
Hillcrest HospitalMayfield HTS, OH, CCN 360230 Hospital 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)		 Feb 7, 1997
Feb 7, 1997
Euclid HospitalEuclid, OH, CCN 360082 Hospital 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)		 Apr 25, 1997
Nov 21, 2007
Lutheran HospitalCleveland, OH, CCN 360087 Hospital 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control		 Mar 1, 1997
Mar 1, 1997
Fairview HospitalCleveland, OH, CCN 360077 Hospital 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control		 Feb 7, 1997
Feb 7, 1997
Akron General Medical CenterAkron, OH, CCN 360027 Hospital 5% Or Greater Indirect Ownership Interest (100%) Sep 1, 2014
Regency Hospital of North Central Ohio (Cleveland)Warrensville Heights, OH, CCN 362029 Hospital 5% Or Greater Indirect Ownership Interest (49%) Jul 1, 2016
Cleveland Clinic HospitalWeston, FL, CCN 100289 Hospital 5% Or Greater Indirect Ownership Interest (100%) Oct 1, 2006
Akron General Medical CenterAkron, OH, CCN 36S027 Hospital 5% Or Greater Indirect Ownership Interest (100%) Nov 1, 2015
Mercy Medical CenterCanton, OH, CCN 360070 Hospital 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)		 Feb 1, 2021
Feb 1, 2021
Lodi Community HospitalLodi, OH, CCN 361303 Hospital 5% Or Greater Indirect Ownership Interest (100%) Nov 1, 2015
Mercy Medical CenterCanton, OH, CCN 36T070 Hospital 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)		 Feb 1, 2021
Feb 1, 2021
Euclid HospitalEuclid, OH, CCN 36S082 Hospital 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control		 Feb 7, 1997
Feb 7, 1997
Cleveland ClinicMedina, OH, CCN 360091 Hospital 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)		 Aug 31, 2009
Aug 31, 2009
Marymount Hospital IncGarfield Heights, OH, CCN 360143 Hospital 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control		 Nov 3, 1995
Nov 3, 1995
Marymount Hospital IncGarfield Heights, OH, CCN 36S143 Hospital 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control		 Nov 21, 2007
Nov 21, 2007
Cleveland Clinic Indian River HospitalVero Beach, FL, CCN 100105 Hospital 5% Or Greater Indirect Ownership Interest (100%) Jan 1, 2019
Cleveland Clinic Martin North, South, Tradition HospitalsStuart, FL, CCN 100044 Hospital 5% Or Greater Indirect Ownership Interest (100%) Jan 1, 2019
Cleveland Clinic Union HospitalDover, OH, CCN 360010 Hospital 5% Or Greater Indirect Ownership Interest (100%)
Operational/Managerial Control (100%)		 Apr 1, 2018
Apr 1, 2018
Cleveland Clinic Union HospitalDover, OH, CCN 36T010 Hospital 5% Or Greater Indirect Ownership Interest (100%)
Operational/Managerial Control (100%)		 Apr 1, 2018
Apr 1, 2018
Lutheran HospitalCleveland, OH, CCN 36S087 Hospital 5% Or Greater Direct Ownership Interest
Operational/Managerial Control		 Mar 1, 1997
Mar 1, 1997
Cleveland Clinic Children's Hospital for RehabilitationCleveland, OH, CCN 363304 Hospital 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control		 Jul 16, 1998
Jul 16, 1998
Behavioral Health CenterVero Beach, FL, CCN 10S105 Hospital 5% Or Greater Direct Ownership Interest (100%) Jan 1, 2019
Encompass Health Rehabilitation Hospital, an Affiliate of Martin HealtStuart, FL, CCN 103044 Hospital 5% Or Greater Indirect Ownership Interest (49%) Jan 1, 2019
Cleveland Clinic Rehabilitation Hospitals, LLCAvon, OH, CCN 363038 Hospital 5% Or Greater Direct Ownership Interest (49%) Dec 1, 2015
Cleveland Clinic Avon HospitalAvon, OH, CCN 360364 Hospital 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control		 May 4, 2016
May 4, 2015
Select Specialty Hospital - Cleveland FairhillCleveland, OH, CCN 362026 Hospital 5% Or Greater Indirect Ownership Interest (49%) Jul 1, 2016
Lodi Community HospitalLodi, OH, CCN 36Z303 Hospital 5% Or Greater Indirect Ownership Interest (100%) Nov 1, 2015
Welcome Nursing HomeOberlin, OH, CCN 365508 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Aug 1, 2017
Dec 8, 2025
Cleveland Clinic Foundation Cleveland Clinic Home CareIndependence, OH, CCN 367142 Home health agency 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control		 Nov 28, 2007
Nov 28, 2007
Union Hospital Home Health AgencyDover, OH, CCN 367426 Home health agency 5% Or Greater Indirect Ownership Interest (100%)
Operational/Managerial Control (100%)		 Apr 1, 2018
Apr 1, 2018
Cleveland Clinic HospiceIndependence, OH, CCN 361554 Hospice 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control		 Sep 23, 1992
Apr 1, 2009

Owned or controlled facilities with NPI records 32

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

View all 32

NPI Registry JSON

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736208000000",
    "number": "1346348091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2570 SOM CENTER RD",
            "city": "WILLOUGHBY HILLS",
            "state": "OH",
            "postal_code": "440949607",
            "telephone_number": "216-445-2362",
            "fax_number": "216-445-0025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2550 SOM CENTER RD",
            "city": "WILLOUGHBY HILLS",
            "state": "OH",
            "postal_code": "440949655",
            "telephone_number": "440-516-8620",
            "fax_number": "440-516-8629"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE CLEVELAND CLINIC FOUNDATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "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",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3336C0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Clinic Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2674351",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "3674668",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Willoughby Hills FHC and ASC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Willoughby Hills FHC and ASC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Willoughby Hills, OH

Sources for this page

Verify at the official NPI Registry.