Organization Active NPI

Cleveland Regional Medical Center LP

Doing business as Cleveland Regional Medical Center

  • Medicare Defined Swing Bed Hospital Unit
  • Cleveland, TX
National Provider Identifier
1932170990
Registry record updated Nov 5, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medicare Defined Swing Bed Hospital UnitTaxonomy code 275N00000X
License
000108 Issued in TX
Legal business name
CLEVELAND REGIONAL MEDICAL CENTER LP
Doing business as
Cleveland Regional Medical Center
Practice address
300 E Crockett St
Cleveland, TX 77327-4029
Phone
(281) 593-1811
Fax
(281) 432-4370
NPI assigned
Jan 30, 2006
Last updated
Nov 5, 2007By the provider in NPPES
Organization subpart
Yes
Parent organization
CLEVELAND REGIONAL MEDICAL CENTER LPAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 5, 2007

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

Authorized official

Name
Michael Portacci
Title
Senior VP, Group Operations
Phone
(888) 373-9600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medicare Defined Swing Bed Hospital Unit 275N00000X 000108 TX Primary

Addresses

Primary practice location

300 E Crockett St
Cleveland, TX 77327-4029

Mailing address

PO Box 844833
Dallas, TX 75284-4833

Other identifiers 1

IdentifierTypeStateIssuer
HH0155OtherBCBS

Other names 1

  • Cleveland Regional Medical Center Doing business as

National Provider Directory

National Provider Directory
Part of
Cleveland Regional Medical

NPI Registry JSON

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

{
    "created_epoch": "1138579200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194220800000",
    "number": "1932170990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 844833",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752844833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 E CROCKETT ST",
            "city": "CLEVELAND",
            "state": "TX",
            "postal_code": "773274029",
            "telephone_number": "281-593-1811",
            "fax_number": "281-432-4370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLEVELAND REGIONAL MEDICAL CENTER LP",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CLEVELAND REGIONAL MEDICAL CENTER LP",
        "enumeration_date": "2006-01-30",
        "last_updated": "2007-11-05",
        "status": "A",
        "authorized_official_last_name": "PORTACCI",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "SENIOR VP, GROUP OPERATIONS",
        "authorized_official_telephone_number": "888-373-9600"
    },
    "taxonomies": [
        {
            "code": "275N00000X",
            "taxonomy_group": "",
            "desc": "Medicare Defined Swing Bed Unit",
            "state": "TX",
            "license": "000108",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "HH0155",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cleveland Regional Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cleveland, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.