Provider Demographics
NPI:1942387543
Name:UNIVERSITY HOSPITALS HEALTH SYSTEM
Entity Type:Organization
Organization Name:UNIVERSITY HOSPITALS HEALTH SYSTEM
Other - Org Name:UNIVERSITY HOSPITALS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:VP & CORPORATE CONTROLLER
Authorized Official - Prefix:MR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:VEHOVEC
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:216-767-8729
Mailing Address - Street 1:3605 WARRENSVILLE CENTER RD
Mailing Address - Street 2:MAILSTOP - MSC 9150
Mailing Address - City:SHAKER HEIGHTS
Mailing Address - State:OH
Mailing Address - Zip Code:44122-5203
Mailing Address - Country:US
Mailing Address - Phone:216-767-8793
Mailing Address - Fax:246-767-8778
Practice Address - Street 1:3605 WARRENSVILLE CENTER RD
Practice Address - Street 2:MAILSTOP - MSC 9150
Practice Address - City:SHAKER HEIGHTS
Practice Address - State:OH
Practice Address - Zip Code:44122-5203
Practice Address - Country:US
Practice Address - Phone:216-767-8793
Practice Address - Fax:246-767-8778
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-01
Last Update Date:2017-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center
Provider Identifiers
StateIdentifier IDID TypeIssuer
OHHB0405OtherMEDICARE HOME OFFICE PROVIDER NO