Basic Information
| Provider Information | |||||||||
| NPI: | 1518206085 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | AKRON GENERAL MEDICAL CENTER | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1 AKRON GENERAL AVE | ||||||||
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| City: | AKRON | ||||||||
| State: | OH | ||||||||
| PostalCode: | 443072432 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3303446000 | ||||||||
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| Address1: | 1 AKRON GENERAL AVE | ||||||||
| Address2: | |||||||||
| City: | AKRON | ||||||||
| State: | OH | ||||||||
| PostalCode: | 443072432 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3303446000 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 02/04/2013 | ||||||||
| LastUpdateDate: | 03/12/2014 | ||||||||
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| AuthorizedOfficialLastName: | GORBACH | ||||||||
| AuthorizedOfficialFirstName: | DEBORAH | ||||||||
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| AuthorizedOfficialTitleorPosition: | VP ACCOUNTING & FINANCE | ||||||||
| AuthorizedOfficialTelephone: | 3303441178 | ||||||||
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| IsOrganizationSubpart: | Y | ||||||||
| ParentOrganizationLBN: | AKRON GENERAL HEALTH SYSTEM | ||||||||
| AuthorizedOfficialNamePrefix: | MRS. | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 291U00000X | 36D0340647 | OH | Y | Laboratories | Clinical Medical Laboratory |
No ID Information.