Cleveland Clinic Park Ave West

LBN: The Cleveland Clinic Foundation
Cleveland Clinic Park Ave West is an health care organization with primary practice located at 484 Park Ave W , Mansfield OH 44906-3118. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty. The Cleveland Clinic Foundation can be contacted via phone (419) 525-0330, or through Longville, Timothy L. via phone (216) 636-7416.

Contact Information

Primary practice address
484 Park Ave W Mansfield OH 44906-3118
Phone: (419) 525-0330
Fax: (419) 994-2612
Website:
Map and Directions
Authorized official contact:
Name: Longville, Timothy L.
Phone: (216) 636-7416

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X

Profile Details

NPI number 1568458925
LBN Legal business name The Cleveland Clinic Foundation
DBA Doing business as Cleveland Clinic Park Ave West
Authorized official Longville, Timothy L.
Entity Organization
Organization subpart 1 No
Enumeration date Sep 21st, 2005
Last updated Mar 31st, 2022 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1568458925 NPPES
Ohio MEDICAID 0899569

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