Basic Information
Provider Information
NPI: 1518966621
EntityType: 2
ReplacementNPI:  
OrganizationName: EMH REGIONAL MEDICAL CENTER
LastName:  
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Mailing Information
Address1: 630 E RIVER ST
Address2:  
City: ELYRIA
State: OH
PostalCode: 440355902
CountryCode: US
TelephoneNumber: 4403297500
FaxNumber:  
Practice Location
Address1: 630 E RIVER ST
Address2:  
City: ELYRIA
State: OH
PostalCode: 440355902
CountryCode: US
TelephoneNumber: 4403297500
FaxNumber:  
Other Information
ProviderEnumerationDate: 07/20/2005
LastUpdateDate: 07/21/2022
NPIDeactivationReasonCode:  
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AuthorizedOfficialLastName: COOK
AuthorizedOfficialFirstName: DAVID
AuthorizedOfficialMiddleName: A
AuthorizedOfficialTitleorPosition: VICE PRESIDENT - FINANCE CFO
AuthorizedOfficialTelephone: 4403297605
IsSoleProprietor:  
IsOrganizationSubpart: N
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Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
273R00000XPPH052366OHY Hospital UnitsPsychiatric Unit 

No ID Information.


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