Provider Demographics
NPI:1578947818
Name:METROHEALTH
Entity Type:Organization
Organization Name:METROHEALTH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:HEAD,DIVISION OF NEONATOLOGY
Authorized Official - Prefix:PROF
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:
Authorized Official - Last Name:MOORE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:216-778-5909
Mailing Address - Street 1:6100 LAURENT DR
Mailing Address - Street 2:APT 509
Mailing Address - City:PARMA
Mailing Address - State:OH
Mailing Address - Zip Code:44129-5973
Mailing Address - Country:US
Mailing Address - Phone:216-855-4115
Mailing Address - Fax:
Practice Address - Street 1:2500 METROHEALTH DR
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44109-1900
Practice Address - Country:US
Practice Address - Phone:216-778-5862
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-07-16
Last Update Date:2015-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH243708275N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes275N00000XHospital UnitsMedicare Defined Swing Bed Unit