CONNEAUT CITY HEALTH DEPARTMENT NPI 1720036932

NPI Information

CONNEAUT CITY HEALTH DEPARTMENT is a public health and state or local clinic center in Conneaut, OH. CONNEAUT CITY HEALTH DEPARTMENT NPI is 1720036932. The provider is registered as an organization entity type.

The provider's business location address is:

327 MILL ST
CONNEAUT, OH
ZIP 44030-439
Phone: (440) 593-3087
Fax: (440) 593-6026

The provider's authorized official is Sally K Kennedy .
The authorized official title is Health Commissioner and has the following contact phone number (440) 593-3087.

The CLIA number assigned to this NPI record is 36D2074622 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/4/2006 and was last updated on 8/22/2020.

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:

Other Identifiers

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

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