City of Ashtabula Ohio

Primary specialty

State or Local Public Health Clinic/CenterTaxonomy code 261QP0905X

Legal business name

CITY OF ASHTABULA OHIO

Practice address

4717 Main Ave
Ashtabula, OH 44004-6943

Phone

(440) 992-7122

NPI assigned

Feb 7, 2007

Organization subpart

No

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

Authorized official

Name

Ms. Michelle J Bradley

Title

Administrative Assistant

Phone

(440) 992-7123

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1170806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1371427200000",
    "number": "1154461374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4717 MAIN AVE",
            "city": "ASHTABULA",
            "state": "OH",
            "postal_code": "440046943",
            "telephone_number": "440-992-7123",
            "fax_number": "440-992-7163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4717 MAIN AVE",
            "city": "ASHTABULA",
            "state": "OH",
            "postal_code": "440046943",
            "telephone_number": "440-992-7122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF ASHTABULA OHIO",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-07",
        "last_updated": "2013-06-17",
        "status": "A",
        "authorized_official_last_name": "BRADLEY",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "ADMINISTRATIVE ASSISTANT",
        "authorized_official_telephone_number": "440-992-7123",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QP0905X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Public Health, State or Local",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0875496",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Joyce Ann Christiansen
• CHS - Lake Erie, Inc
• CHS of Ashtabula Inc
• Christina Cicon
• Moises Cirilo Escobar
• City of Ashtabula Ohio
• Susan Rita Ciufo, CNP/APRN
• Heather Clark-Pizon
• Abigail Louise Clark
• Alexandria Clark

• State or Local Public Health Clinic/Center in Ashtabula, OH
• Providers in Ashtabula, OH by specialty
• State or Local Public Health Clinic/Center in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2013; 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.