1639235567 NPI number — NORTHEASTERN OHIO UNIVERSITIES COLLEGES OF MEDICINE AND PHARMACY

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1639235567 NPI number — NORTHEASTERN OHIO UNIVERSITIES COLLEGES OF MEDICINE AND PHARMACY

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
NORTHEASTERN OHIO UNIVERSITIES COLLEGES OF MEDICINE AND PHARMACY
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:
1639235567
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:
4209 STATE ROUTE 44
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
ROOTSTOWN
Provider Business Mailing Address State Name:
OH
Provider Business Mailing Address Postal Code:
44272-9698
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
330-325-6263
Provider Business Mailing Address Fax Number:
330-325-5919

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
4209 STATE ROUTE 44
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
ROOTSTOWN
Provider Business Practice Location Address State Name:
OH
Provider Business Practice Location Address Postal Code:
44272-9698
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
330-325-6263
Provider Business Practice Location Address Fax Number:
330-325-5919
Provider Enumeration Date:
12/28/2006

Additional Information

Authorized Official

Authorized Official Last Name:
NORA
Authorized Official First Name:
LOIS
Authorized Official Middle Name:
MARGARET
Authorized Official Title or Position:
PRESIDENT AND DEAN
Authorized Official Telephone Number:
330-325-6263

Provider Taxonomy Codes

  • Taxonomy code: 251300000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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





Copyright © 2007-2025 www.npivalidator.com