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NPI Code Detail

MEDICARE: COMMUNITY OF CHRIST CHURCH, INC

MEDICARE: COMMUNITY OF CHRIST CHURCH, INC
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
1251S00000XCommunity/Behavioral Health AgencyORHOH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1251S00000XOTHEROHCOMMUNITY BEHAVIORAL HEALTH

General Provider Information

NPI Number : 1073043782
Entity Type Code : Organization
Provider Name (Legal Business Name) : COMMUNITY OF CHRIST CHURCH, INC
Provider Business Mailing Address
First Line : 834 GRANT ST
Second Line :
City : AKRON
State : OH
Zip : 44311-2136
Country : US
Telephone Number : 330-858-7373
Fax Number :
Provider Business Practice Location Address
First Line : 834 GRANT ST
Second Line :
City : AKRON
State : OH
Zip : 44311-2136
Country : US
Telephone Number : 330-253-8803
Fax Number :
Authorized Official
Title or Position : CFO
Name : DESIREE A MCKENZIE
Credential :
Telephone Number : 330-253-8803
Provider Enumeration Date : 06/14/2017
Last Update Date : 09/21/2023

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Directions to “COMMUNITY OF CHRIST CHURCH, INC ” Practice Location

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