METROHEALTH BROADWAY HEALTH CENTER
NPI 1346919362
Clinic/Center - Federally Qualified Health Center (FQHC) in Cleveland, OH

NPI Status: Active since September 13, 2021

Contact Information

6835 BROADWAY AVE
CLEVELAND, OH
ZIP 44105
Phone: (216) 957-1850
Fax: (216) 957-1695

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  • Organization
  • Clinic/Center
  • Federally Qualified Health Center (FQHC)
  • Accepts Insurance
  • CLIA Number: 36D0335176
  • CLIA Cert. Type: Ancillary Testing Site in Health Care Center
  • CLIA Exp. Date: 02-08-2025

About METROHEALTH BROADWAY HEALTH CENTER

This page provides the complete NPI Profile along with additional information for Metrohealth Broadway Health Center, a primary care provider established in Cleveland, Ohio operating as a Clinic/center, focusing in federally qualified health center (fqhc) . The healthcare provider is registered in the NPI registry with number 1346919362 assigned on September 2021. The practitioner's primary taxonomy code is 261QF0400X. The provider is registered as an organization and their NPI record was last updated one year ago. The provider's is doing business as Metrohealth Broadway Health Center. The authorized official of this NPI record is Derrick Hollings (Evp/cfo)

NPI
1346919362
Provider Legal Name
THE METROHEALTH SYSTEM
Other Organization Name
METROHEALTH BROADWAY HEALTH CENTER
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
6835 BROADWAY AVE CLEVELAND, OH 44105
Location Phone
(216) 957-1850
Location Fax
(216) 957-1695
Mailing Address
2500 METROHEALTH DR CLEVELAND, OH 44109
Mailing Phone
(216) 778-7800
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
09-13-2021
Last Update Date
05-09-2024
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A primary care provider (PCP) like Metrohealth Broadway Health Center sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Federally Qualified Health Center (FQHC)

Taxonomy Code
261QF0400X
Type
Ambulatory Health Care Facilities

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1261QD0000XAmbulatory Health Care Facilities

Clinic/Center
Dental

 

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Clear Silver - HMO
  • Elite Bronze - HMO
  • Elite Bronze + Vision + Adult Dental - HMO
  • Elite Gold - HMO
  • Elite Gold + Vision + Adult Dental - HMO
  • Everyday Bronze - HMO
  • Everyday Bronze + Vision + Adult Dental - HMO
  • Everyday Gold - HMO
  • Everyday Gold + Vision + Adult Dental - HMO
  • Focused Silver - HMO
  • Focused Silver + Vision + Adult Dental - HMO
  • Standard Expanded Bronze - HMO
  • Standard Expanded Bronze + Vision + Adult Dental - HMO
  • Standard Gold - HMO
  • Standard Gold + Vision + Adult Dental - HMO
  • Standard Silver - HMO
  • Standard Silver + Vision + Adult Dental - HMO
  • Choice Bronze HSA - HMO
  • Choice Bronze HSA + Vision + Adult Dental - HMO
  • Clear Gold - HMO
  • Clear Gold + Vision + Adult Dental - HMO
  • Clear Silver - HMO
  • Complete Gold - HMO
  • Complete Gold + Vision + Adult Dental - HMO
  • Complete Silver - HMO
  • Complete Silver + Vision + Adult Dental - HMO
  • Elite Gold - HMO
  • Elite Gold + Vision + Adult Dental - HMO
  • Everyday Bronze - HMO
  • Everyday Bronze + Vision + Adult Dental - HMO
  • Focused Silver - HMO
  • Focused Silver + Vision + Adult Dental - HMO
  • Standard Expanded Bronze - HMO
  • Standard Expanded Bronze + Vision + Adult Dental - HMO
  • Standard Gold - HMO
  • Standard Gold + Vision + Adult Dental - HMO
  • Standard Silver - HMO
  • Anthem Bronze Pathway HMO 7450 for HSA - HMO
  • Anthem Bronze Pathway HMO 7500 Standard ($0 Virtual PCP + $0 Select Drugs) - HMO
  • Anthem Bronze Pathway HMO 9200 ($0 Virtual PCP + $0 Select Drugs) - HMO
  • Anthem Bronze Pathway HMO 9200 Adult Dental & Vision ($0 Virtual PCP + $0 Select Drugs) - HMO
  • Anthem Catastrophic Pathway HMO 9200 - HMO
  • Anthem Gold Pathway HMO 1500 Standard ($0 Virtual PCP + $0 Select Drugs) - HMO
  • Anthem Heart Healthy Bronze Pathway HMO 6000 ($0 Virtual PCP + $0 Select Drugs) - HMO
  • Anthem Heart Healthy Silver Pathway X HMO 6000 ($0 Virtual PCP + $0 Select Drugs) - HMO
  • Anthem Silver Pathway HMO 4000 Adult Dental/Vision ($0 Virtual PCP + $0 Select Drugs) - HMO
  • Anthem Silver Pathway HMO 5000 Standard ($0 Virtual PCP + $0 Select Drugs) - HMO
  • Anthem Silver Pathway HMO 5400 for HSA - HMO
  • Anthem Silver Pathway X HMO 4000 ($0 Virtual PCP + $0 Select Drugs) - HMO
  • Bronze First 7500 $25 Generic Drugs - HMO
  • Bronze First 7500 $25 Generic Drugs Adult Vision & Fitness - HMO
  • Core Gold 1500 $10 Generic Drugs - HMO
  • Core Gold 1500 $10 Generic Drugs Adult Vision & Fitness - HMO
  • Diabetes Gold 1100 $0 Select Drugs & Specialized Services - HMO
  • Diabetes Gold 1100 $0 Select Drugs & Specialized Services Adult Vision & Fitness - HMO
  • Diabetes Silver 4000 $0 Select Drugs & Specialized Services - HMO
  • Diabetes Silver 4000 $0 Select Drugs & Specialized Services Adult Vision & Fitness - HMO
  • Gold 1500 $15 Generic Drugs - HMO
  • Gold 1500 $15 Generic Drugs Adult Vision & Fitness - HMO
  • HDHP Preventive Silver 5500 $0 Select Drugs - HMO
  • Healthy Heart Gold 1500 $0 Select Drugs & Specialized Services - HMO
  • Healthy Heart Gold 1500 $0 Select Drugs & Specialized Services Adult Vision & Fitness - HMO
  • Healthy Heart Silver 4500 $0 Select Drugs & Specialized Services - HMO
  • Healthy Heart Silver 4500 $0 Select Drugs & Specialized Services Adult Vision & Fitness - HMO
  • Low Premium Silver 6000 $3 Generic Drugs - HMO
  • Low Premium Silver 6000 $3 Generic Drugs Adult Vision & Fitness - HMO
  • Silver 5000 $20 Generic Drugs - HMO
  • Silver 5000 $20 Generic Drugs Adult Vision & Fitness - HMO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DERRICK HOLLINGS

Authorized Official Title
EVP/CFO
Authorized Official Phone
(216) 778-7800

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 this NPI number is:

CLIA Number
36D0335176
Facility Type
Ancillary Testing Site in Health Care Center
Certificate Effective Date
February 09, 2023
Certificate Expiration Date
February 08, 2025
Laboratory Director
DR. MARIAM YOUSSEF
Certificate Type
Certificate of Accreditation
Certificate Type Description
This is a CLIA certificate is issued to Metrohealth Broadway Health Center on the basis of the laboratory's accreditation by an accreditation organization approved by CMS. This type of certificate is issued to a laboratories tha perform nonwaived (moderate and/or high complexity) testing.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1346919362
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
238618118312
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 3 + 8 + 6 + 1 + 8 + 1 + 1 + 8 + 3 + 1 + 2 + 24 = 68
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 68 = 22

The NPI number 1346919362 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1477582054 MARINA N MAGREY MD
Individual
Internal Medicine6835 BROADWAY AVE METROHEALTH BROADWAY HEALTH CENTER
CLEVELAND, OH 44105
(216) 957-1500
1861424863 WILLIAM A ZRENNER CNS
Individual
Clinical Nurse Specialist (Psychiatric/Mental Health)6835 BROADWAY AVE METROHEALTH BROADWAY HEALTH CENTER
CLEVELAND, OH 44105
(216) 957-1500
1700801834 GEORGIA L DAVIS CNP
Individual
Nurse Practitioner (Pediatrics)6835 BROADWAY AVE METROHEALTH BROADWAY HEALTH CENTER
CLEVELAND, OH 44105
(216) 957-1850
1336164714 REBECCA R SNIDER-FULLER PCNS
Individual
Clinical Nurse Specialist6835 BROADWAY AVE METROHEALTH BROADWAY HEALTH CENTER
CLEVELAND, OH 44105
(216) 957-1807
1306867635 SYLVIA J SAIKUS CNM
Individual
Advanced Practice Midwife6835 BROADWAY AVE METROHEALTH BROADWAY HEALTH CENTER
CLEVELAND, OH 44105
(216) 957-1500
1568470391 ROGER S KARP DDS, MSD
Individual
Dentist (Periodontics)6835 BROADWAY AVE METROHEALTH BROADWAY HEALTH CENTER
CLEVELAND, OH 44105
(216) 957-4090
1942219969 JUNGNAM E KIM DMD
Individual
Dentist6835 BROADWAY AVE METROHEALTH BROADWAY HEALTH CENTER
CLEVELAND, OH 44105
(216) 957-1500
1033224159 ANTHONY E BOYD LISW
Individual
Social Worker6835 BROADWAY AVE METROHEALTH BROADWAY HEALTH CENTER
CLEVELAND, OH 44105
(216) 957-1500
1700991775 SARAH MARIE CARIL MD
Individual
Obstetrics & Gynecology6835 BROADWAY AVE METROHEALTH BROADWAY HEALTH CENTER
CLEVELAND, OH 44105
(216) 957-1500
1629186465 ELAINE E FITZGERALD MD
Individual
Pediatrics6835 BROADWAY AVE METROHEALTH BROADWAY HEALTH CENTER
CLEVELAND, OH 44105
(216) 957-1500
1902914799 KENNETH B FRISOF MD
Individual
Family Medicine6835 BROADWAY AVE METROHEALTH BROADWAY HEALTH CENTER
CLEVELAND, OH 44105
(216) 957-1500
1235317124MRS. FELICIA COLLINS HAMEED LSW
Individual
Social Worker (Clinical)6835 BROADWAY AVE
CLEVELAND, OH 44105
(216) 957-1800
1356317168DR. REBECCA LYNN SCHROEDER MD
Individual
Family Medicine6835 BROADWAY AVE
CLEVELAND, OH 44105
(216) 957-1650
1649420944DR. JYOTI ANEJA M.D.
Individual
Psychiatry & Neurology (Psychiatry)6835 BROADWAY AVE
CLEVELAND, OH 44105
(216) 957-1523
1245770312 DOUGLAS FIKE
Individual
Pharmacist6835 BROADWAY AVE
CLEVELAND, OH 44105
(216) 957-1510
1497218515 JAIME A GARAY LISW
Individual
Counselor6835 BROADWAY AVE
CLEVELAND, OH 44105
(216) 957-1734
1598309304 EDWIN NG
Individual
Pharmacist6835 BROADWAY AVE
CLEVELAND, OH 44105
(216) 957-1510
1437506425DR. KELLY MARIE MAKINO MD
Individual
Family Medicine6835 BROADWAY AVE
CLEVELAND, OH 44105
(808) 627-3255
1790149037 JAMIL KHOURI M.D
Individual
Family Medicine6835 BROADWAY AVE
CLEVELAND, OH 44105
(216) 957-1500
1427478858THE METROHEALTH SYSTEM
Organization
Pharmacy (Community/Retail Pharmacy)6835 BROADWAY AVE
CLEVELAND, OH 44105
(216) 957-1601

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1346919362, enumerated in the NPI registry as an "organization" on September 13, 2021

The provider is located at 6835 Broadway Ave Cleveland, Oh 44105 and the phone number is (216) 957-1850

This medical organization specializes in Clinic/Center with taxonomy code 261QF0400X with a focus in Federally Qualified Health Center (FQHC)

The provider might be accepting Accepts: Ambetter from Meridian, Ambetter Health, Anthem. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

The provider's CLIA number is 36D0335176 for a "ancillary testing site in health care center" facility with a CLIA Certificate of Accreditation. This is a CLIA certificate is issued on the basis of the laboratory's accreditation by an accreditation organization approved by CMS. This type of certificate is issued to a laboratories tha perform nonwaived (moderate and/or high complexity) testing..

This NPI record was last updated on September 13, 2021. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.