NPIMap

Organization Active NPI

University Hospitals Conneaut Medical Center

Doing business as Uh Ashtabula Health Clinic

  • Rural Health Clinic/Center
  • Ashtabula, OH
National Provider Identifier
1083373526
Registry record updated Apr 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
UNIVERSITY HOSPITALS CONNEAUT MEDICAL CENTER
Doing business as
Uh Ashtabula Health Clinic
Practice address
3315 N Ridge Rd E Ste 100
Ashtabula, OH 44004-4347
Phone
(440) 964-8387
NPI assigned
Dec 13, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Anthony Schillero
Title
Director, FP&a
Phone
(216) 767-8141

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X Primary

Addresses

Primary practice location

3315 N Ridge Rd E Ste 100
Ashtabula, OH 44004-4347

Mailing address

PO Box 772930
Detroit, MI 48277-2930

Other practice location 1

3315 N Ridge Rd E Ste 200
Ashtabula, OH 44004-4348
Phone (440) 964-3733

Other practice location 2

3315 N Ridge Rd E Ste 300
Ashtabula, OH 44004-4349
Phone (440) 214-8005

Other names 1

  • UH ASHTABULA HEALTH CLINIC Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://199.119.81.30:8291/Gateway/Documentsubmission/2_0/NhinService/XDRResponse_Service Other eSolutions Inc.

National Provider Directory

National Provider Directory
Tax ID family
Brown Memorial Hospital3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

3315 N Ridge Rd E
Ste 100
Ashtabula, OH 44004
Phone (440) 964-8387

3315 N Ridge Rd E
Ste 300
Ashtabula, OH 44004
Phone (440) 214-8005

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1639353600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714348800000",
    "number": "1083373526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 772930",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482772930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3315 N RIDGE RD E STE 100",
            "city": "ASHTABULA",
            "state": "OH",
            "postal_code": "440044347",
            "telephone_number": "440-964-8387"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3315 N Ridge Rd E Ste 200",
            "address_purpose": "LOCATION",
            "city": "Ashtabula",
            "state": "OH",
            "postal_code": "440044348",
            "country_code": "US",
            "telephone_number": "440-964-3733",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3315 N Ridge Rd E Ste 300",
            "address_purpose": "LOCATION",
            "city": "Ashtabula",
            "state": "OH",
            "postal_code": "440044349",
            "country_code": "US",
            "telephone_number": "440-214-8005",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "UNIVERSITY HOSPITALS CONNEAUT MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-13",
        "last_updated": "2024-04-29",
        "certification_date": "2024-04-29",
        "status": "A",
        "authorized_official_last_name": "SCHILLERO",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_title_or_position": "DIRECTOR, FP&A",
        "authorized_official_telephone_number": "216-767-8141"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://199.119.81.30:8291/Gateway/Documentsubmission/2_0/NhinService/XDRResponse_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.1066.1",
            "affiliationName": "eSolutions Inc.",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "8215 W 108th Ter",
            "city": "Overland Park",
            "state": "KS",
            "country_code": "US",
            "postal_code": "662101661",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "UH ASHTABULA HEALTH CLINIC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ashtabula, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.