Provider Demographics
NPI:1619243557
Name:UNIVERSITY HOSPITALS COORDINATED CARE
Entity Type:Organization
Organization Name:UNIVERSITY HOSPITALS COORDINATED CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:UHHS DIRECTOR OF REIMBURSEMENT
Authorized Official - Prefix:MR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:E
Authorized Official - Last Name:TAYLOR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:216-767-8793
Mailing Address - Street 1:3605 WARRENSVILLE CENTER RD
Mailing Address - Street 2:MAILSTOP MSC 9214
Mailing Address - City:SHAKER HEIGHTS
Mailing Address - State:OH
Mailing Address - Zip Code:44122-5203
Mailing Address - Country:US
Mailing Address - Phone:216-844-3323
Mailing Address - Fax:
Practice Address - Street 1:3605 WARRENSVILLE CENTER RD
Practice Address - Street 2:MAILSTOP MSC 9214
Practice Address - City:SHAKER HEIGHTS
Practice Address - State:OH
Practice Address - Zip Code:44122-5203
Practice Address - Country:US
Practice Address - Phone:216-844-3323
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:UNIVERSITY HOSPITALS HEALTH SYSTEM
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2012-03-26
Last Update Date:2012-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH282N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital