MEDICARE: PARMA COMMUNITY GENERAL HOSPITAL ASSOCIATION

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	261Q00000X	Clinic/Center

General Provider Information

NPI Number	:	1083856678
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PARMA COMMUNITY GENERAL HOSPITAL ASSOCIATION

Provider Business Mailing Address
First Line	:	PO BOX 772930
Second Line	:
City	:	DETROIT
State	:	MI
Zip	:	48277-2930
Country	:	US
Telephone Number	:	440-743-3000
Fax Number	:

Provider Business Practice Location Address
First Line	:	8191 COLUMBIA RD
Second Line	:
City	:	OLMSTED FALLS
State	:	OH
Zip	:	44138-2023
Country	:	US
Telephone Number	:	440-235-1245
Fax Number	:	440-235-4591

Authorized Official
Title or Position	:	DIRECTOR, FP&A
Name	:	ANTHONY SCHILLERO
Credential	:
Telephone Number	:	216-767-8141

Provider Enumeration Date	:	03/30/2009
Last Update Date	:	04/29/2024

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