NPIMap

Organization Active NPI

St Vincent Charity Medical Center

Doing business as St Vincent Charity Occupational Health

  • Occupational Medicine Clinic/Center
  • Cleveland, OH
National Provider Identifier
1942274840
Registry record updated Jan 30, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Medicine Clinic/CenterTaxonomy code 261QX0100X
Legal business name
ST VINCENT CHARITY MEDICAL CENTER
Doing business as
St Vincent Charity Occupational Health
Practice address
2475 E 22ND St
Suite 310
Cleveland, OH 44115-3221
Phone
(216) 363-2691
Fax
(440) 746-3405
NPI assigned
Feb 15, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2015

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

Authorized official

Name
Mr. Patrick McMahon
Title
Senior VP & Cfo
Phone
(216) 875-4602

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Medicine Clinic/Center 261QX0100X Primary

Addresses

Primary practice location

2475 E 22ND St
Suite 310
Cleveland, OH 44115-3221

Mailing address

6935 Treeline Dr
Suite J
Brecksville, OH 44141-3393
Phone (440) 746-3401

Other identifiers 1

IdentifierTypeStateIssuer
34189345202OtherOHBUREAU OF WORKERS' COMPEN

Other names 1

  • St Vincent Charity Occupational Health Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Critcal Care Associates9 organizations share this tax ID, including this one

Other organizations with this tax ID 8

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

Locations

2475 E 22nd St
Ste 310
Cleveland, OH 44115
Phone (216) 363-2691

NPI Registry JSON

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

{
    "created_epoch": "1139961600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1422576000000",
    "number": "1942274840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6935 TREELINE DR",
            "address_2": "SUITE J",
            "city": "BRECKSVILLE",
            "state": "OH",
            "postal_code": "441413393",
            "telephone_number": "440-746-3401",
            "fax_number": "440-746-3405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2475 E 22ND ST",
            "address_2": "SUITE 310",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441153221",
            "telephone_number": "216-363-2691",
            "fax_number": "440-746-3405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST VINCENT CHARITY MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-15",
        "last_updated": "2015-01-30",
        "status": "A",
        "authorized_official_last_name": "MCMAHON",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_title_or_position": "SENIOR VP & CFO",
        "authorized_official_telephone_number": "216-875-4602",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QX0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Occupational Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BUREAU OF WORKERS' COMPEN",
            "identifier": "34189345202",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "St Vincent Charity Occupational Health",
            "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 30, 2015; 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.