MASSILLON HEALTH DEPT NPI 1083828305

NPI Information

  • NPI: 1083828305
  • Provider Name: MASSILLON HEALTH DEPT
  • Classification: Public Health or Welfare - 251K00000X
  • Entity Type: Organization
  • CLIA Number: 36D0857470
  • Address: 611 ERIE ST S
    MASSILLON, OH
    ZIP 44646
  • Phone: (330) 830-1713

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NPI Details

MASSILLON HEALTH DEPT is a public health or welfare in Massillon, OH. MASSILLON HEALTH DEPT NPI is 1083828305. The provider is registered as an organization entity type.

The provider's business location address is:

611 ERIE ST S
MASSILLON, OH
ZIP 44646-711
Phone: (330) 830-1713
Fax: (330) 830-2852

The provider's authorized official is Audrey Sylvester .
The authorized official title is Director Of Nursing and has the following contact phone number (330) 830-1713.

The CLIA number assigned to this NPI record is 36D0857470 - other - health dept with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/9/2007 and was last updated on 3/7/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1251K00000XPublic Health or WelfareNo
2251K00000XPublic Health or WelfareRN260840OHIOYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
10873407MEDICAIDOHIO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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