CLEVELAND STATE UNIVERSITY; NPI #1164704995

Contact Information

CLEVELAND STATE UNIVERSITY

2121 EUCLID AVE
CLEVELAND, OH 44115-2214

Phone: 216-687-5287
Fax:
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Student Health	261QS1000X

Indicates primary specialty

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NPI Profile & details for CLEVELAND STATE UNIVERSITY

NPI Number	`1164704995`
LBN Legal business name	CLEVELAND STATE UNIVERSITY
Authorized official	CHRIS LACSAMANA - (HEAD ATHLETICS TRAINER)
Entity	Organization
Organization subpart ¹	No
Enumeration date	09/19/2011
Last updated	09/19/2011 - About 15 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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