=====================================================
General NPI Number Information
=====================================================
NPI Number | 1881518702
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | ASHTABULA COUNTY MEDICAL CENTER
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 08/05/2026
-----------------------------------------------------
Last Update Date | 08/05/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 354 W MAIN RD
-----------------------------------------------------
City | CONNEAUT
-----------------------------------------------------
State | OH
-----------------------------------------------------
Zip | 44030-2043
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 440-997-2262
-----------------------------------------------------
Fax | 440-994-7591
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 354 W MAIN RD
-----------------------------------------------------
City | CONNEAUT
-----------------------------------------------------
State | OH
-----------------------------------------------------
Zip | 44030-2043
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 440-997-2262
-----------------------------------------------------
Fax | 440-994-7591
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | DIRECTOR
-----------------------------------------------------
Name | EMILY WOOD
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 440-997-6622
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 207Q00000X
-----------------------------------------------------
Taxonomy Name | Family Medicine Physician
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------