Provider Demographics
NPI:1457403016
Name:EUCLID HOSPITAL CLEVELAND CLINIC HEALTH SYSTEM
Entity type:Organization
Organization Name:EUCLID HOSPITAL CLEVELAND CLINIC HEALTH SYSTEM
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:RNFA
Authorized Official - Prefix:MS
Authorized Official - First Name:MARYANNE
Authorized Official - Middle Name:
Authorized Official - Last Name:MIANOROYER
Authorized Official - Suffix:
Authorized Official - Credentials:RN, BSN,CNOR,RNFA
Authorized Official - Phone:216-731-4292
Mailing Address - Street 1:30 E 213TH ST
Mailing Address - Street 2:
Mailing Address - City:EUCLID
Mailing Address - State:OH
Mailing Address - Zip Code:44123-1065
Mailing Address - Country:US
Mailing Address - Phone:216-692-8646
Mailing Address - Fax:
Practice Address - Street 1:30 E 213TH ST
Practice Address - Street 2:
Practice Address - City:EUCLID
Practice Address - State:OH
Practice Address - Zip Code:44123-1065
Practice Address - Country:US
Practice Address - Phone:216-731-4292
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-16
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN 155178282N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital