CLEVELAND CLINIC INDEPENDENCE BROADVIEW HTS (CLEVELAND CLINIC FOUNDATION) NPI 1003005869

Durable Medical Equipment & Medical Supplies in Broadview Heights, OH

NPI 1003005869 Organization Durable Medical Equipment & Medical Supp... CLIA Number 36D1059625 CLIA Certificate of Waiver

About CLEVELAND CLINIC INDEPENDENCE BROADVIEW HTS (CLEVELAND CLINIC FOUNDATION)

Cleveland Clinic Independence Broadview Hts (cleveland Clinic Foundation) is a provider established in Broadview Heights, Ohio specializing in durable medical equipment & medical supplies. The NPI number of Cleveland Clinic Independence Broadview Hts (cleveland Clinic Foundation) is 1003005869 and was assigned on October 2007. The practitioner's primary taxonomy code is 332B00000X. The provider is registered as an organization and their NPI record was last updated 12 years ago. The provider's is doing business as Cleveland Clinic Independence Broadview Hts. The authorized official of this NPI record is Steven C Glass (Cfo)

The CLIA number of Cleveland Clinic Independence Broadview Hts is 36D1059625 registered as a "physician office" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to Cleveland Clinic Independence Broadview Hts to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

NPI

1003005869

Provider NameCLEVELAND CLINIC INDEPENDENCE BROADVIEW HTS (CLEVELAND CLINIC FOUNDATION)
Provider Location Address2001 E ROYALTON RD BROADVIEW HEIGHTS, OH 44147
Provider Mailing Address6000 W CREEK RD SUITE 10 INDEPENDENCE, OH 44131
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Other Organization NameCLEVELAND CLINIC INDEPENDENCE BROADVIEW HTS
Other Name TypeDoing Business As (3)
Enumeration Date10-17-2007
Last Update Date10-14-2009


Primary Taxonomy

Taxonomy Code332B00000X
ClassificationDurable Medical Equipment & Medical Supplies
TypeSuppliers
License StateOH
Taxonomy DescriptionA supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.

Business Address

CLEVELAND CLINIC INDEPENDENCE BROADVIEW HTS
2001 E ROYALTON RD
BROADVIEW HEIGHTS, OH
ZIP 44147
Phone: (440) 717-6125
Fax: (440) 717-6127

Get Directions


Mailing Address

CLEVELAND CLINIC INDEPENDENCE BROADVIEW HTS
6000 W CREEK RD
SUITE 10
INDEPENDENCE, OH
ZIP 44131
Phone: (800) 223-2273



Authorized Official

Authorized Official Name STEVEN C GLASS
Authorized Official TitleCFO
Authorized Official Phone(216) 444-2575

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for the NPI number 1003005869 is:

CLIA Number36D1059625
Facility TypePHYSICIAN OFFICE
Certificate TypeCertificate of Waiver

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
0670140034MEDICARE NSC (07)OH

Other Providers at the same location


The following 9 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1801891163DR. MICHELLE MACKEY-SAWYER M.D
Individual
Family Medicine2001 E ROYALTON RD
BROADVIEW HTS, OH 44147
(440) 717-6100
1821068560DR. CHRISTINE MARIE KING MD
Individual
Family Medicine2001 E ROYALTON RD
BROADVIEW HTS, OH 44147
(440) 717-6100
1699737353 KAREN H. RICKERT DO
Individual
Emergency Medicine (Emergency Medical Services)2001 E ROYALTON RD
BROADVIEW HEIGHTS, OH 44147
(440) 717-5800
1043273303 PAUL MARTIN DO
Individual
Emergency Medicine (Emergency Medical Services)2001 E ROYALTON RD
BROADVIEW HEIGHTS, OH 44147
(440) 717-5800
1982643755MMS EMERGENCY PHYSICIANS INC
Organization
Emergency Medicine (Emergency Medical Services)2001 E ROYALTON RD
BROADVIEW HEIGHTS, OH 44147
(440) 717-5800
1083833925 MELINDA ANN DEFILIPPO SZUCS DO
Individual
Family Medicine2001 E ROYALTON RD
BROADVIEW HTS, OH 44147
(440) 717-6100
1063606440MARYMOUNT PRIMARY CARE SERVICES, INC.
Organization
Family Medicine2001 E ROYALTON RD
BROADVIEW HEIGHTS, OH 44147
(440) 717-6100
1063495224BROADVIEW HEIGHTS FAMILY MEDICINE, INC
Organization
Family Medicine2001 E ROYALTON RD
BROADVIEW HTS, OH 44147
(440) 717-6100
1770545444 CHRISTINE BOYKO DO
Individual
Emergency Medicine (Emergency Medical Services)2001 E ROYALTON RD
BROADVIEW HEIGHTS, OH 44147
(440) 717-5800

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.