CLEVELAND CLINIC INDEPENDENCE BROADVIEW HTS (CLEVELAND CLINIC FOUNDATION) NPI 1003005869
Durable Medical Equipment & Medical Supplies in Broadview Heights, OH
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 Name | CLEVELAND CLINIC INDEPENDENCE BROADVIEW HTS (CLEVELAND CLINIC FOUNDATION) |
| Provider Location Address | 2001 E ROYALTON RD BROADVIEW HEIGHTS, OH 44147 |
| Provider Mailing Address | 6000 W CREEK RD SUITE 10 INDEPENDENCE, OH 44131 |
| NPI Entity Type | Organization |
| Is Sole Proprietor? | N/A |
| Is Organization Subpart? | No |
| Other Organization Name | CLEVELAND CLINIC INDEPENDENCE BROADVIEW HTS |
| Other Name Type | Doing Business As (3) |
| Enumeration Date | 10-17-2007 |
| Last Update Date | 10-14-2009 |
Primary Taxonomy
| Taxonomy Code | 332B00000X |
| Classification | Durable Medical Equipment & Medical Supplies |
| Type | Suppliers |
| License State | OH |
| Taxonomy Description | A 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
Mailing Address
CLEVELAND CLINIC INDEPENDENCE BROADVIEW HTS
6000 W CREEK RD
SUITE 10
INDEPENDENCE, OH
ZIP 44131
Phone: (800) 223-2273
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 Number | 36D1059625 |
| Facility Type | PHYSICIAN OFFICE |
| Certificate Type | Certificate 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 |
|---|---|---|
| 0670140034 | MEDICARE 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 |
|---|---|---|---|
| 1801891163 | DR. MICHELLE MACKEY-SAWYER M.D Individual | Family Medicine | 2001 E ROYALTON RD BROADVIEW HTS, OH 44147 (440) 717-6100 |
| 1821068560 | DR. CHRISTINE MARIE KING MD Individual | Family Medicine | 2001 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 |
| 1982643755 | MMS 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 Medicine | 2001 E ROYALTON RD BROADVIEW HTS, OH 44147 (440) 717-6100 |
| 1063606440 | MARYMOUNT PRIMARY CARE SERVICES, INC. Organization | Family Medicine | 2001 E ROYALTON RD BROADVIEW HEIGHTS, OH 44147 (440) 717-6100 |
| 1063495224 | BROADVIEW HEIGHTS FAMILY MEDICINE, INC Organization | Family Medicine | 2001 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.