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Contact Information

MARYMOUNT HOSPITAL
12000 MCCRACKEN RD
STE 151
GARFIELD HEIGHTS, OH44125-2964
 Phone: 216-578-8822
 Fax: 216-587-8844
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Retail Pharmacy

3336C0003X 58 Medical Supply Company with Pharmacist
 

Clinic Pharmacy

3336C0002X 58 Medical Supply Company with Pharmacist
 

Pharmacy

333600000X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for MARYMOUNT HOSPITAL

NPI Number 1811932049
LBN Legal business name MARYMOUNT HOSPITAL
Authorized official TIM LONGVILLE - (CHIEF ACCOUNTING OFFICER AND CONTRO)
Entity Organization
Organization subpart 1 No
Enumeration date 06/19/2006
Last updated 10/11/2023 - About 3 years ago
Identifiers
OH License # 021567350
Other 3674101 NCPDP PROVIDER IDENTIFICATION NUMBER
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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