Provider Demographics
NPI:1891866166
Name:UNIVERISTY HOSPITALS CASE MEDICAL CENTER
Entity type:Organization
Organization Name:UNIVERISTY HOSPITALS CASE MEDICAL CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:ROBERTA
Authorized Official - Middle Name:JO
Authorized Official - Last Name:ROWELL-LEINWEBER
Authorized Official - Suffix:
Authorized Official - Credentials:CNP
Authorized Official - Phone:216-844-2312
Mailing Address - Street 1:4347 PARKLAWN DR
Mailing Address - Street 2:
Mailing Address - City:WILLOUGHBY
Mailing Address - State:OH
Mailing Address - Zip Code:44094-7936
Mailing Address - Country:US
Mailing Address - Phone:440-953-9905
Mailing Address - Fax:216-844-7492
Practice Address - Street 1:11100 EUCLID AVE
Practice Address - Street 2:MP5072- HEART AND VASCULAR INSITUTE
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44106-1716
Practice Address - Country:US
Practice Address - Phone:216-844-2312
Practice Address - Fax:216-844-7492
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-10
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHCOA08718-NP282N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital