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Contact Information

CLEVELAND CLINIC CHILDREN'S HOSPITAL FOR REHABILITATION
2801 MARTIN LUTHER KING JR DR
CLEVELAND, OH44104-3815
 Phone: 216-721-5400
 Fax: 216-721-4590
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Children

283XC2000X
Indicates primary specialty

NPI Profile & details for CLEVELAND CLINIC CHILDREN'S HOSPITAL FOR REHABILITATION

NPI # 1033161948
LBN Legal business name CLEVELAND CLINIC CHILDREN'S HOSPITAL FOR REHABILITATION
Authorized official DENNIS LARAWAY - (EXECUTIVE VP CHIEF FINANCE OFFICER)
Entity Organization
Organization subpart 1 No
Enumeration date 05/17/2006
Last updated 08/06/2025 - About 10 months ago
Identifiers
OH License # 174
OH Medicaid 3779620
OH Other 0521879 AETNA
OH Other 000000076301 ANTHEM BLUE CROSS
OH Other 100113 KAISER
OH Other 5000158 UNITED HEALTHCARE
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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