Organization Name: | CITY OF ASHTABULA OHIO |
NPI Number: | 1154461374 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MICHELLE J BRADLEY (ADMINISTRATIVE ASSISTANT) |
Mailing Address: | 4717 Main Ave Ashtabula |
State: | OH US |
Postal Code: | 440046943 |
Phone Number: | 4409927122 |
Fax Number: | |
NPI Enumeration Date: | 02/07/2007 |
NPI Last Update Date: | 06/17/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QP0905X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Public Health, State or Local |
Taxonomy Definition: |