1780800649 NPI number — CHILDREN'S HOSPITAL OF AKRON

Table of content: (NPI 1780800649)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1780800649 NPI number — CHILDREN'S HOSPITAL OF AKRON

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
CHILDREN'S HOSPITAL OF AKRON
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1780800649
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/22/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1270 BUCKINGHAM GATE BLVD
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
CUYAHOGA FALLS
Provider Business Mailing Address State Name:
OH
Provider Business Mailing Address Postal Code:
44221-5337
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
330-928-9926
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1 PERKINS SQ
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
AKRON
Provider Business Practice Location Address State Name:
OH
Provider Business Practice Location Address Postal Code:
44308-1063
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
330-543-1000
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
04/18/2007

Additional Information

Authorized Official

Authorized Official Last Name:
KIM
Authorized Official First Name:
RIRA
Authorized Official Middle Name:
Authorized Official Title or Position:
RESIDENT
Authorized Official Telephone Number:
330-928-9926

Provider Taxonomy Codes

  • Taxonomy code: 282NC2000X , with the licence number:  89568 , registered in the state of OH ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 89568 . This is a "STATE MEDICAL BOARD" identifier , issued by the state of ( OH ) . This identifiers is of the category "OTHER".




Copyright © 2007-2024 www.npivalidator.com