Organization Name: | AUSTINTOWN EMERGENCY ROOM, INC. |
NPI Number: | 1285758722 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | LINDA SIMEONE (ADMINISTRATOR) |
Mailing Address: | 45 N Canfield Niles Rd Austintown |
State: | OH US |
Postal Code: | 445152343 |
Phone Number: | 3307922020 |
Fax Number: | 3307924798 |
NPI Enumeration Date: | 03/19/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QE0002X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Emergency Care |
Taxonomy Definition: |