| Organization Name: | UNIVERSITY HOSPITALS GENEVA MEDICAL CENTER |
| NPI Number: | 1104200146 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JOHN E TAYLOR (UH DIRECTOR OF REIMBURSEMENT) |
| Mailing Address: | 2131 Lake Ave Ashtabula |
| State: | OH US |
| Postal Code: | 440043466 |
| Phone Number: | 4409920759 |
| Fax Number: | 4409921334 |
| NPI Enumeration Date: | 07/18/2015 |
| NPI Last Update Date: | 07/18/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QU0200X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OH |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Urgent Care |
| Taxonomy Definition: | |