Provider Demographics
NPI:1144762360
Name:CUYAHOGA COMMUNITY COLLEGE
Entity Type:Organization
Organization Name:CUYAHOGA COMMUNITY COLLEGE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FAMILY NURSE PRACTITIONER
Authorized Official - Prefix:MS
Authorized Official - First Name:RHONDA
Authorized Official - Middle Name:A
Authorized Official - Last Name:HOOKS
Authorized Official - Suffix:
Authorized Official - Credentials:FNP
Authorized Official - Phone:216-571-9943
Mailing Address - Street 1:26242 DENNISPORT DR
Mailing Address - Street 2:
Mailing Address - City:OAKWOOD VILLAGE
Mailing Address - State:OH
Mailing Address - Zip Code:44146-5948
Mailing Address - Country:US
Mailing Address - Phone:216-571-9943
Mailing Address - Fax:
Practice Address - Street 1:26242 DENNISPORT DR
Practice Address - Street 2:
Practice Address - City:OAKWOOD VILLAGE
Practice Address - State:OH
Practice Address - Zip Code:44146-5948
Practice Address - Country:US
Practice Address - Phone:216-571-9943
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-11-07
Last Update Date:2016-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes302R00000XManaged Care OrganizationsHealth Maintenance Organization