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NPI Code Detail

MEDICARE: UNIVERSITY HOSPITALS CONNEAUT MEDICAL CENTER

MEDICARE: UNIVERSITY HOSPITALS CONNEAUT MEDICAL CENTER
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1282NC0060XCritical Access Hospital

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1902996119
Entity Type Code : Organization
Provider Name (Legal Business Name) : UNIVERSITY HOSPITALS CONNEAUT MEDICAL CENTER
Provider Business Mailing Address
First Line : PO BOX 772930
Second Line :
City : DETROIT
State : MI
Zip : 48277-2930
Country : US
Telephone Number : 216-767-8793
Fax Number : 216-767-8778
Provider Business Practice Location Address
First Line : 158 W MAIN RD
Second Line :
City : CONNEAUT
State : OH
Zip : 44030-2039
Country : US
Telephone Number : 216-767-8793
Fax Number : 216-767-8778
Authorized Official
Title or Position : DIRECTOR, FP&A
Name : ANTHONY SCHILLERO
Credential :
Telephone Number : 216-767-8141
Provider Enumeration Date : 10/16/2006
Last Update Date : 04/29/2024

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Directions to “UNIVERSITY HOSPITALS CONNEAUT MEDICAL CENTER ” Practice Location

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