1841469160 NPI number — THE TOLEDO HOSPITAL

Table of content: (NPI 1841469160)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1841469160 NPI number — THE TOLEDO HOSPITAL

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
THE TOLEDO HOSPITAL
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:
1841469160
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
10/03/2013
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
5855 MONROE ST
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
SYLVANIA
Provider Business Mailing Address State Name:
OH
Provider Business Mailing Address Postal Code:
43560-2269
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
419-824-7264
Provider Business Mailing Address Fax Number:
419-824-7359

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2150 W CENTRAL AVE
Provider Second Line Business Practice Location Address:
CENTER FOR HEALTH SERVICES PEDIATRICS
Provider Business Practice Location Address City Name:
TOLEDO
Provider Business Practice Location Address State Name:
OH
Provider Business Practice Location Address Postal Code:
43606-3846
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
419-291-4000
Provider Business Practice Location Address Fax Number:
419-479-3297
Provider Enumeration Date:
02/21/2008

Additional Information

Authorized Official

Authorized Official Last Name:
MCCUNE
Authorized Official First Name:
LORI
Authorized Official Middle Name:
Authorized Official Title or Position:
CREDENTIALING COORDINATOR
Authorized Official Telephone Number:
419-824-7264

Provider Taxonomy Codes

  • Taxonomy code: 208000000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: 8822662 , issued by the state of ( OH ) . This identifiers is of the category "MEDICAID".




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