NPIMap

Organization Active NPI

Indian River Memorial Hospital Inc

  • General Acute Care Hospital
  • Vero Beach, FL
National Provider Identifier
1376512988
Registry record updated Aug 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
4029 Issued in FL
Legal business name
INDIAN RIVER MEMORIAL HOSPITAL INC
Practice address
1000 36TH St
Vero Beach, FL 32960-4862
Phone
(772) 567-4311
NPI assigned
Mar 16, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2025

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

Authorized official

Name
Dennis Laraway
Title
Executive VP Chief Finance Officer
Phone
(216) 445-1343

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Hospital Unit 273R00000X 4029 FL
General Acute Care Hospital 282N00000X 4029 FL Primary

Addresses

Primary practice location

1000 36TH St
Vero Beach, FL 32960-4862

Mailing address

6801 Brecksville Rd
Ste 20 Attn: DPC RK2-7
Independence, OH 44131-5062
Phone (216) 636-4969

Other identifiers 2

IdentifierTypeStateIssuer
309OtherFLBLUE CROSS
010104400MedicaidFL

Other names 1

  • Cleveland Clinic Indian River Hospital Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080219000494 FL Part A Provider - Hospital 2365332632 Practice locations: Vero Beach, FL; Sebastian, FL

Hospital certification: CCN 100105

Legal name
INDIAN RIVER MEMORIAL HOSPITAL, INC.
Doing business as
CLEVELAND CLINIC INDIAN RIVER HOSPITAL
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Jul 1, 1966
Last certification
Jun 10, 2019
Beds
332
Ownership / control type
Private (not for profit)
Organization structure
CorporationNon-profit
Incorporated
Jan 1, 1984 in FL
Enrollment address
1000 36TH St
Vero Beach, FL 32960-4862
Main/Primary Hospital Location
Hospital subgroups
Acute care

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs with the same Medicare PAC ID 1

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

Care Compare: Hospital

Medicare Care Compare
Listed as
Cleveland Clinic Indian River HospitalCCN 100105
Overall star rating
4 of 5
Type
Acute Care Hospitals
Ownership
Voluntary non-profit - Private
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory
Tax ID family
Indian River Memorial16 organizations share this tax ID, including this one

Other organizations with this tax ID 15

Organizations that report the same tax identification number in the National Provider Directory.

View all 15

Member of 1

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

Locations

601 Duboce Ave
Ste 165
San Francisco, CA 94117

Networks

  • Optimum HealthCare HMO NetworkPlans: Optimum Diamond Rewards (HMO C-SNP) (H5594-028-000, H5594); Optimum Diamond (HMO C-SNP) (H5594-036-000, H5594); Optimum Diamond Rewards (HMO C-SNP) (H5594-034-000, H5594); Optimum Diamond Rewards COPD (HMO C-SNP) (H5594-029-000, H5594); Optimum Platinum Plan (HMO) (H5594-002-000, H5594); Optimum Gold Plus Plan (HMO) (H5594-032-000, H5594); Optimum Diamond Savings COPD (HMO C-SNP) (H5594-031-000, H5594); Optimum Diamond Savings (HMO C-SNP) (H5594-030-000, H5594); Optimum Diamond Rewards COPD (HMO C-SNP) (H5594-035-000, H5594)
  • Freedom Health HMO NetworkPlans: Freedom Platinum Rewards Plan Rx (HMO) (H5427-102-000, H5427); Freedom VIP Care (HMO C-SNP) (H5427-070-000, H5427); Freedom VIP Rewards (HMO C-SNP) (H5427-108-000, H5427); Freedom VIP Rewards (HMO C-SNP) (H5427-099-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-107-000, H5427); Freedom Maximo (HMO-POS) (H5427-113-000, H5427); Freedom Savings Plan (HMO) (H5427-052-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-096-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-105-000, H5427); Freedom Medi-Medi Full (HMO D-SNP) (H5427-087-000, H5427)…

Ownership & related parties

All disclosed owners & managing parties 25

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Cleveland Clinic Florida Regional Health System Nonprofit Corporation Organization, Weston, FL Corporation, Non-profit 5% Or Greater Direct Ownership Interest Jan 1, 2019 100%
Operational/Managerial Control Jan 1, 2019 100%
Kirsten Kubit Individual W-2 Managing EmployeeDepartment Analyst I Jan 1, 2025
Amanda Parina Individual W-2 Managing EmployeeDepartment Analyst I Sep 1, 2021
Sarah a Vogler Individual Corporate DirectorDirector - Board of Directors Aug 1, 2024
The Cleveland Clinic Foundation Organization, Cleveland, OH Non-profit 5% Or Greater Indirect Ownership Interest Jan 1, 2019 100%
Dennis L Laraway Individual Corporate OfficerCfo, CCF and Treasurer Mar 13, 2023
David Cato Individual Corporate OfficerChief Operating Officer, Florida Oct 12, 2021
Corporate DirectorDirector - Board of Directors Oct 5, 2021
Juliette Lomax-Homier Individual Corporate DirectorBoard Member Jan 1, 2019
Lori K Posk Individual Corporate DirectorDirector - Board of Directors Apr 8, 2021
Frederick S Ross Individual Corporate DirectorDirector - Board of Directors Feb 2, 2024
Conor P Delaney Individual Corporate DirectorDirector - Board of Directors Oct 5, 2020
John P Lindenthal Individual Corporate DirectorDirector - Board of Directors Dec 15, 2021
William P Cooney Individual Corporate DirectorDirector - Board of Directors Oct 9, 2025
Glenn a Zirbser Individual Corporate DirectorDirector - Board of Directors Jun 1, 2025
William E Macdonald Individual Corporate DirectorDirector - Board of Directors Mar 13, 2023
Sharron Foster Individual W-2 Managing EmployeeDepartment Analyst II Jan 1, 2020
James Forbes Individual Corporate DirectorDirector - Board of Directors May 20, 2024
William Peacock Individual Corporate OfficerChief of Operations, CCF Oct 12, 2021
Marybeth Cunningham Individual Corporate DirectorBoard Member Jan 1, 2019
Barbara del Castillo Individual Corporate OfficerGeneral Counsel & Asst Secretary Oct 12, 2021
Corporate DirectorDirector - Board of Directors Mar 13, 2023
Judith Lafage Individual Corporate DirectorDirector - Board of Directors Oct 1, 2023
Robert Oblander Individual Corporate OfficerAssistant Secretary Jan 28, 2019
Corporate DirectorDirector - Board of Directors Mar 13, 2023
Richard Rothman Individual Corporate DirectorDirector - Board of Directors Aug 19, 2024
Matthew Reiser Individual Corporate DirectorBoard Member Jan 1, 2019
Michael Hammes Individual Corporate OfficerChair Mar 3, 2022
Corporate DirectorBoard Member Jan 1, 2019

Owners & managing parties with NPI records 20

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

View all 20

Facilities with the same owner 31

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 31

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Affiliated clinicians 919

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 919

NPI Registry JSON

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

{
    "created_epoch": "1142467200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1754611200000",
    "number": "1376512988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6801 BRECKSVILLE RD",
            "address_2": "STE 20 ATTN: DPC RK2-7",
            "city": "INDEPENDENCE",
            "state": "OH",
            "postal_code": "441315062",
            "telephone_number": "216-636-4969",
            "fax_number": "216-636-6036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 36TH ST",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329604862",
            "telephone_number": "772-567-4311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INDIAN RIVER MEMORIAL HOSPITAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-16",
        "last_updated": "2025-08-08",
        "certification_date": "2025-08-08",
        "status": "A",
        "authorized_official_last_name": "LARAWAY",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_title_or_position": "EXECUTIVE VP CHIEF FINANCE OFFICER",
        "authorized_official_telephone_number": "216-445-1343"
    },
    "taxonomies": [
        {
            "code": "273R00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Unit",
            "state": "FL",
            "license": "4029",
            "primary": false
        },
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "FL",
            "license": "4029",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "309",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010104400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cleveland Clinic Indian River Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Vero Beach, FL

Sources for this page

Verify at the official NPI Registry.