Provider Demographics
NPI:1770164592
Name:THE METROHEALTH SYTEM
Entity type:Organization
Organization Name:THE METROHEALTH SYTEM
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:FINANCE AND BUSINESS MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:BRANDON
Authorized Official - Middle Name:MARK
Authorized Official - Last Name:DOPPELHEUER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:216-778-8880
Mailing Address - Street 1:3609 PARK EAST DR FL 1
Mailing Address - Street 2:
Mailing Address - City:BEACHWOOD
Mailing Address - State:OH
Mailing Address - Zip Code:44122-4331
Mailing Address - Country:US
Mailing Address - Phone:216-778-8880
Mailing Address - Fax:
Practice Address - Street 1:3609 PARK EAST DR FL 1
Practice Address - Street 2:
Practice Address - City:BEACHWOOD
Practice Address - State:OH
Practice Address - Zip Code:44122-4331
Practice Address - Country:US
Practice Address - Phone:216-778-8880
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:THE METROHEALTH SYSTEM
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2021-04-15
Last Update Date:2022-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy