Basic Information
| Provider Information | |||||||||
| NPI: | 1821035940 | ||||||||
| 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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| Practice Location | |||||||||
| Address1: | 1 AKRON GENERAL AVE | ||||||||
| Address2: | |||||||||
| City: | AKRON | ||||||||
| State: | OH | ||||||||
| PostalCode: | 443072432 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3303446000 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 05/31/2006 | ||||||||
| LastUpdateDate: | 02/23/2022 | ||||||||
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| AuthorizedOfficialLastName: | LONGVILLE | ||||||||
| AuthorizedOfficialFirstName: | TIMOTHY | ||||||||
| AuthorizedOfficialMiddleName: | L | ||||||||
| AuthorizedOfficialTitleorPosition: | CHIEF ACCOUNTING OFFICER AND CONTRO | ||||||||
| AuthorizedOfficialTelephone: | 2166367416 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| NPICertificationDate: | 02/23/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 282N00000X | Y | Hospitals | General Acute Care Hospital |
ID Information
| ID | Type | State | Issuer | Description | 0066972 | 01 | OH | AETNA HEALTH PLANS | OTHER | 18900 | 01 | OH | QUALCHOICE | OTHER | 600961 | 01 | OH | BUCKEYE MEDICAID HMO | OTHER | 039904600 | 01 | OH | BLACK LUNG FEDERAL PROGRA | OTHER | 100110 | 01 | OH | KAISER | OTHER | 0069483 | 05 | OH | MEDICAID | 5000001 | 01 | OH | UNITED HEALTHCARE OF OHIO | OTHER | 000000110984 | 01 | OH | ANTHEM BLUE CROSS | OTHER |