Organization Name: | CONNEAUT VALLEY HEALTH CENTER INC. |
NPI Number: | 1427133248 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MICHAEL DOWNING (CEO) |
Mailing Address: | 10926 Highway 18 Conneaut Lake |
State: | PA US |
Postal Code: | 163163526 |
Phone Number: | 8143820446 |
Fax Number: | 8143827386 |
NPI Enumeration Date: | 10/27/2006 |
NPI Last Update Date: | 04/10/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QR1300X |
License Number: | OS011018L |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Rural Health |
Taxonomy Definition: |