Provider Demographics
NPI:1366514093
Name:CLEVELAND CLINIC HEALTH SYSTEMS
Entity type:Organization
Organization Name:CLEVELAND CLINIC HEALTH SYSTEMS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:DR
Authorized Official - First Name:DELROS
Authorized Official - Middle Name:
Authorized Official - Last Name:COSGROVE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:216-444-2200
Mailing Address - Street 1:9500 EUCLID AVE
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44195-0001
Mailing Address - Country:US
Mailing Address - Phone:216-692-7826
Mailing Address - Fax:216-692-7499
Practice Address - Street 1:99 NORTHLINE CIR
Practice Address - Street 2:SUITE 211
Practice Address - City:EUCLID
Practice Address - State:OH
Practice Address - Zip Code:44119-1482
Practice Address - Country:US
Practice Address - Phone:216-692-7826
Practice Address - Fax:216-692-7499
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-15
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHE0002458282N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital