Organization · NPI-2
Medical Mutual Of Ohio
Preferred Provider Organization · Cleveland, OH
NPI number1437090537
StatusActive
Last updated in NPPESApr 2, 2026
Details
- NPI
- 1437090537
- Entity type
- Organization (NPI-2)
- Legal business name
- Medical Mutual Of Ohio
- Organization subpart
- No
- Enumeration date
- Apr 2, 2026
- Certification date
- Apr 2, 2026
- Last updated
- Apr 2, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 305R00000X | Preferred Provider Organization | – | – | Yes |
| 302R00000X | Health Maintenance Organization | – | – |
Practice location
100 American RdCleveland, OH 44144-2322
Phone 216-687-7379
Mailing address
100 American RdCleveland, OH 44144-2322
Phone 216-687-7379
Authorized official
Timothy Kibler
Corporate Counsel
2166877379
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