MEDICARE: CHILDREN'S HOSPITAL MEDICAL CENTER OF AKRON

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	282NC2000X	Children's Hospital	NA	OH

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	:	1861506560
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CHILDREN'S HOSPITAL MEDICAL CENTER OF AKRON

Provider Business Mailing Address
First Line	:	1 PERKINS SQ
Second Line	:
City	:	AKRON
State	:	OH
Zip	:	44308-1062
Country	:	US
Telephone Number	:	330-543-8171
Fax Number	:	330-543-3616

Provider Business Practice Location Address
First Line	:	1 PERKINS SQ
Second Line	:
City	:	AKRON
State	:	OH
Zip	:	44308-1062
Country	:	US
Telephone Number	:	330-543-8171
Fax Number	:	330-543-3616

Authorized Official
Title or Position	:	DIRECTOR FINANCE
Name	:	MRS. ALICIA E LAMANCUSA
Credential	:	CPA
Telephone Number	:	330-543-8171

Provider Enumeration Date	:	08/18/2006
Last Update Date	:	11/18/2021

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