MEDICARE: WINDSOR HOSPITAL

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
1	273R00000X	Psychiatric Hospital Unit

Other Identifiers

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

General Provider Information

NPI Number	:	1073568994
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WINDSOR HOSPITAL

Provider Business Mailing Address
First Line	:	115 E SUMMIT ST
Second Line	:
City	:	CHAGRIN FALLS
State	:	OH
Zip	:	44022-2711
Country	:	US
Telephone Number	:	330-758-4515
Fax Number	:	330-758-5121

Provider Business Practice Location Address
First Line	:	115 E SUMMIT ST
Second Line	:
City	:	CHAGRIN FALLS
State	:	OH
Zip	:	44022-2711
Country	:	US
Telephone Number	:	330-758-4515
Fax Number	:	330-758-5121

Authorized Official
Title or Position	:	BILLING SUPERVISOR
Name	:	PAT HOFFMAN
Credential	:
Telephone Number	:	330-758-4515

Provider Enumeration Date	:	05/23/2006
Last Update Date	:	08/22/2020

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Directions to “WINDSOR HOSPITAL ” Practice Location

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