Organization Active NPI

Cleveland Clinic Health System - East Region

Doing business as Huron Hospital

  • General Acute Care Hospital
  • Cleveland, OH
National Provider Identifier
1386696847
Registry record updated Jan 12, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
1148 Issued in OH
Legal business name
CLEVELAND CLINIC HEALTH SYSTEM - EAST REGION
Doing business as
Huron Hospital
Practice address
13951 Terrace Rd
Cleveland, OH 44112-4308
Phone
(216) 761-3300
NPI assigned
May 16, 2006
Last updated
Jan 12, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2009

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)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X 1148 OH Primary

Addresses

Primary practice location

13951 Terrace Rd
Cleveland, OH 44112-4308

Mailing address

6801 Brecksville Rd
Suite 20 RK 10
Independence, OH 44131-5032
Phone (216) 636-8052

Other identifiers 6

IdentifierTypeStateIssuer
0081812OtherOHAETNA
000000157025OtherOHANTHEM
100119OtherOHKAISER
340714435-00OtherOHBUREAU WORKERS COMPENSATI
4195517MedicaidOH
5000055OtherOHUNITED HEALTHCARE

Other names 1

  • Huron Hospital Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031205000028 OH Part B Supplier - Clinic/Group Practice 2264337955 Receives reassigned benefits from 216 practitioners
3 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Mayfield HTS, OH; Warrensville Heights, OH; Mentor, OH; Mayfield Heights, OH; Euclid, OH; Cleveland, OH; Beachwood, OH

Other NPIs on the same Medicare enrollment 3

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Member of 2

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

NPI Registry JSON

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

{
    "created_epoch": "1147737600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1231718400000",
    "number": "1386696847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6801 BRECKSVILLE RD",
            "address_2": "SUITE 20 RK 10",
            "city": "INDEPENDENCE",
            "state": "OH",
            "postal_code": "441315032",
            "telephone_number": "216-636-8052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13951 TERRACE RD",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441124308",
            "telephone_number": "216-761-3300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLEVELAND CLINIC HEALTH SYSTEM - EAST REGION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-16",
        "last_updated": "2009-01-12",
        "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": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "OH",
            "license": "1148",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "0081812",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000157025",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KAISER",
            "identifier": "100119",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BUREAU WORKERS COMPENSATI",
            "identifier": "340714435-00",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4195517",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "5000055",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Huron Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jan 12, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.