Healthcare Provider Details

I. General information

NPI: 1649485848
Provider Name (Legal Business Name): CHILDREN'S HOSPITAL MEDICAL CENTER OF AKRON
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/11/2007
Last Update Date: 10/30/2023
Certification Date: 10/30/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

185 W CEDAR ST
AKRON OH
44307-2400
US

IV. Provider business mailing address

ONE PERKINS SQUARE
AKRON OH
44308-1062
US

V. Phone/Fax

Practice location:
  • Phone: 330-543-5000
  • Fax: 330-543-3084
Mailing address:
  • Phone: 330-543-5000
  • Fax: 330-543-3084

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251F00000X
TaxonomyHome Infusion Agency
License Number02-0562700
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License NumberHMER 23177
License Number StateOH
# 3
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number State

VIII. Authorized Official

Name: ALICIA LAMANCUSA
Title or Position: VP FINANCE
Credential:
Phone: 330-543-8171