Healthcare Provider Details

I. General information

NPI: 1669396529
Provider Name (Legal Business Name): ASHTABULA COUNTY MEDICAL CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/05/2026
Last Update Date: 08/05/2026
Certification Date: 08/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1028 S BROADWAY
GENEVA OH
44041-7124
US

IV. Provider business mailing address

1028 S BROADWAY
GENEVA OH
44041-7124
US

V. Phone/Fax

Practice location:
  • Phone: 440-997-2262
  • Fax: 440-994-7591
Mailing address:
  • Phone: 440-997-2262
  • Fax: 440-994-7591

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number
License Number State

VIII. Authorized Official

Name: EMILY WOOD
Title or Position: DIRECTOR
Credential:
Phone: 440-997-6622