1972052611 NPI number — AKRON REGIONAL HOSPITAL LLC

Table of content: (NPI 1972052611)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1972052611 NPI number — AKRON REGIONAL HOSPITAL LLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
AKRON REGIONAL HOSPITAL LLC
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:
6
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:
1972052611
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
12/17/2025
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
141 N. FORGE STREET
Provider Second Line Business Mailing Address:
SUITE NG-2043
Provider Business Mailing Address City Name:
AKRON
Provider Business Mailing Address State Name:
OH
Provider Business Mailing Address Postal Code:
44304
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
330-375-3375
Provider Business Mailing Address Fax Number:
330-375-7622

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
525 EAST MARKET STREET
Provider Second Line Business Practice Location Address:
RETAIL PHARMACY
Provider Business Practice Location Address City Name:
AKRON
Provider Business Practice Location Address State Name:
OH
Provider Business Practice Location Address Postal Code:
44304-1619
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
330-375-4911
Provider Business Practice Location Address Fax Number:
330-375-7622
Provider Enumeration Date:
09/22/2016

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
FEUCHT
Authorized Official First Name:
JOHN
Authorized Official Middle Name:
L
Authorized Official Title or Position:
DIRECTOR OF PHARMACY SERVICES
Authorized Official Telephone Number:
330-375-4397

Provider Taxonomy Codes

  • Taxonomy code: 3336C0002X , with the licence number:  02072625003 , registered in the state of OH ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 3336S0011X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 333600000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 3336C0003X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: 2164423 . This is a "PK" identifier . This identifiers is of the category "OTHER".
  • Identifier: 0246047 , issued by the state of ( OH ) . This identifiers is of the category "MEDICAID".