Provider Demographics
NPI:1013752625
Name:CLEVELAND CLINIC UNION HOSPITAL
Entity type:Organization
Organization Name:CLEVELAND CLINIC UNION HOSPITAL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:APP MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:INGLISH
Authorized Official - Middle Name:
Authorized Official - Last Name:KAPUT
Authorized Official - Suffix:
Authorized Official - Credentials:APRN
Authorized Official - Phone:330-401-2623
Mailing Address - Street 1:659 BOULEVARD ST
Mailing Address - Street 2:
Mailing Address - City:DOVER
Mailing Address - State:OH
Mailing Address - Zip Code:44622-2026
Mailing Address - Country:US
Mailing Address - Phone:330-343-3311
Mailing Address - Fax:
Practice Address - Street 1:659 BOULEVARD ST
Practice Address - Street 2:
Practice Address - City:DOVER
Practice Address - State:OH
Practice Address - Zip Code:44622-2026
Practice Address - Country:US
Practice Address - Phone:330-343-3311
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-06-26
Last Update Date:2024-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QE0002XAmbulatory Health Care FacilitiesClinic/CenterEmergency Care