THE METROHEALTH SYSTEM (NPI# 1316573900) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316573900 |
| Entity Type | Organization |
| Organization Name | THE METROHEALTH SYSTEM |
| Practice Address |
11100 Saint Clair Ave Cleveland OH 44108-1943 |
| Mailing Address |
4229 Pearl Rd Attn: Linda Greenhill Pfs Spvr Room 2-25-11 Cleveland OH 44109-1998 |
| Practice Telephone | 2169575600 |
| Mailing Telephone | 2169572442 |
| Mailing Fax Number | 2169572148 |
| Enumeration Date | 2020-03-16 |
| Last Update Date | 2020-03-16 |
| Authorized Official Name | MR. GEOFF A HIMES (VP FINANCE) |
| Authorized Official Telephone | 2169572799 |
| Is Organization Subpart | Y |
| Parent Organization Name | METROHEALTH SYSTEM |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| J Glen Smith, Glenville Community Health Center | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Ohio Business Entities | THE METROHEALTH SYSTEM | 2500 Metrohealth Dr, Cleveland, OH 44109 |
| Street Address |
11100 SAINT CLAIR AVE |
| City | CLEVELAND |
| State | OH |
| Zip Code | 44108-1943 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881630283 | Joseph K Daprano | Internal Medicine | 11100 Saint Clair Ave, Cleveland, OH 44108-1943 | 2006-06-22 |
| 1144724220 | Kenneth Lyles | Counselor | 11100 Saint Clair Ave, Cleveland, OH 44108-1943 | 2018-03-22 |
| 1740725167 | Donna Watson | Counselor | 11100 Saint Clair Ave, Cleveland, OH 44108-1943 | 2016-12-20 |
| 1710240981 | City of Cleveland | Public Health or Welfare | 11100 Saint Clair Ave, Cleveland, OH 44108-1943 | 2012-06-21 |
| 1740345339 | City of Cleveland | Community/Behavioral Health | 11100 Saint Clair Ave, J. Glen Smith Health Center, Cleveland, OH 44108-1943 | 2006-12-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407475080 | Fundamentals First Basketball Academy, LLC | Early Intervention Provider Agency | 977 Eddy Rd., Cleveland, OH 44108 | 2020-04-13 |
| 1891269395 | Kathy Rothenberg-james | Counselor | 11100 St. Clair Ave., J .glen Smith Health Center, Cleveland, OH 44108 | 2019-01-17 |
| 1043705353 | Tamara Dionne Lyles | Community Health Worker | 12717 Arlington Ave, Cleveland, OH 44108 | 2018-06-28 |
| 1215424619 | Michael Bivens | Home Health Aide | 12414 Lancelot Avenue, Cleveland, OH 44108 | 2018-04-20 |
| 1487163283 | Nakia S Smith | Naturopath | 10621 Dupont Ave, Cleveland, OH 44108 | 2017-09-25 |
| 1003362229 | Terrance Wilson | Home Health Aide | 10912 Olivet Ave, Cleveland, OH 44108 | 2016-08-28 |
| 1235598541 | Lashaun Walker | Home Health Aide | 10208 Kempton Ave, Cleveland, OH 44108 | 2016-02-15 |
| 1053709147 | Danielle R Pettus | Nurse's Aide | 12811 Brackland Ave, Apt 6, Cleveland, OH 44108 | 2014-12-26 |
| 1528467529 | Naomi Fleming | Licensed Practical Nurse | 368 Cleveland Road, Cleveland, OH 44108 | 2014-08-15 |
| 1417369646 | Camille Taylor | Home Health Aide | 696e.101st, Cleveland, OH 44108 | 2014-05-22 |
| Find all providers in zip 44108 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386286011 | Asian Services In Action, Inc | Clinic/Center | 2999 Payne Ave, Ste 140, Cleveland, OH 44114 | 2019-10-15 |
| 1891287439 | Northeast Ohio Neighborhood Health Services, Inc. | Clinic/Center | 10505 Saint Clair Ave Ste 101, Cleveland, OH 44108-1973 | 2018-05-30 |
| 1306268677 | Neighborhood Health Care Incorporated | Clinic/Center | 14037 Puritas Ave, Suite A and D, Cleveland, OH 44135-2841 | 2014-01-06 |
| 1114275310 | Northeast Ohio Neighborhood Health Services, Inc. | Clinic/Center | 15320 Euclid Ave, Cleveland, OH 44112-2806 | 2012-08-17 |
| 1386905644 | Care Alliance | Clinic/Center | 1701 Payne Ave, Cleveland, OH 44114-2909 | 2012-06-04 |
| 1447511787 | Care Alliance | Clinic/Center | 5005 Euclid Ave, Cleveland, OH 44103-3745 | 2012-06-04 |
| 1386905628 | Care Alliance | Clinic/Center | 5310 Carnegie Ave, Cleveland, OH 44103-4360 | 2012-06-04 |
| 1730440074 | Care Alliance | Clinic/Center | 2100 Lakeside Ave E, Cleveland, OH 44114-1126 | 2012-06-04 |
| 1780942656 | Care Alliance | Clinic/Center | 4241 Lorain Ave, Cleveland, OH 44113-3720 | 2012-04-30 |
| 1831457712 | Care Alliance | Clinic/Center | 2227 Payne Ave, Cleveland, OH 44114-4424 | 2012-04-27 |
| Find all providers in CLEVELAND | ||||
Please comment or provide details below to improve the information on THE METROHEALTH SYSTEM.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.