Provider Demographics
NPI:1992954176
Name:UNIVERSITY HOSPITALS OF CLEVELAND
Entity type:Organization
Organization Name:UNIVERSITY HOSPITALS OF CLEVELAND
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL FELLOW
Authorized Official - Prefix:DR
Authorized Official - First Name:ZIMBUL
Authorized Official - Middle Name:
Authorized Official - Last Name:ALBO ANGELUS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:216-844-6300
Mailing Address - Street 1:12200 FAIRHILL ROAD
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44120
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:12200 FAIRHILL ROAD
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44120
Practice Address - Country:US
Practice Address - Phone:216-844-6300
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-09-12
Last Update Date:2008-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH90259282N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital