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Contact Information

CLUB GREEN CORPORATION
3602 MOBILE CT
CLEVELAND, OH44109-4206
 Phone: 330-803-5644
 Fax:
 Website:
Indicates primary specialty

NPI Profile & details for CLUB GREEN CORPORATION

NPI # 1639940547
LBN Legal business name CLUB GREEN CORPORATION
Authorized official NADIR HAZLY - (EXECUTIVE DIRECTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 01/10/2024
Last updated 03/31/2024 - About 2 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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