The Cleveland Clinic Foundation
General Practice in Medina, OH. Organization (NPI-2).
NPI number1639004286
StatusActive
Last updated in NPPESJun 16, 2026
Details
- NPI
- 1639004286
- Entity type
- Organization (NPI-2)
- Legal business name
- The Cleveland Clinic Foundation
- Organization subpart
- No
- Enumeration date
- Jun 16, 2026
- Certification date
- Jun 16, 2026
- Last updated
- Jun 16, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208D00000X | General Practice | – | – | Yes |
Practice location
970 E Washington StSte 4b
Medina, OH 44256-2181
Phone 216-444-2273
Mailing address
6801 Brecksville RdSte 20, Attn: Dpc Rk2-7
Independence, OH 44131-5062
Authorized official
Dennis Lee Laraway
Executive Vp Chief Finance Officer
2164451343
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