Provider Demographics
NPI:1508091216
Name:CLEVELAND REGIONAL MEDICAL CENTER, LP
Entity Type:Organization
Organization Name:CLEVELAND REGIONAL MEDICAL CENTER, LP
Other - Org Name:CLEVELAND REGIONAL MEDICAL CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:ROY
Authorized Official - Middle Name:
Authorized Official - Last Name:MOPARTY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-381-8299
Mailing Address - Street 1:300 E CROCKETT ST
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND
Mailing Address - State:TX
Mailing Address - Zip Code:77327-4029
Mailing Address - Country:US
Mailing Address - Phone:281-257-0404
Mailing Address - Fax:281-605-4563
Practice Address - Street 1:300 E CROCKETT ST
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:TX
Practice Address - Zip Code:77327-4029
Practice Address - Country:US
Practice Address - Phone:281-257-0404
Practice Address - Fax:281-605-4563
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-05-26
Last Update Date:2014-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208M00000XAllopathic & Osteopathic PhysiciansHospitalistGroup - Multi-Specialty