University Hospitals Conneaut Medical Center

Primary specialty

Rural Health Clinic/CenterTaxonomy code 261QR1300X

Legal business name

UNIVERSITY HOSPITALS CONNEAUT MEDICAL CENTER

Practice address

167 W Main Rd Ste D
Conneaut, OH 44030-2057

Phone

(440) 593-0197

NPI assigned

Jun 13, 2023

Organization subpart

No

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

Addresses

Other names 1

• Conneaut RHC 167 Main Other name

Electronic endpoints 1

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.

• University Hospitals Conneaut Medical Center

  • Rural Health Clinic/Center
  • Ashtabula, OH
  • NPI 1083373526
  NPD tax ID
• University Hospitals Conneaut Medical Center

  • Critical Access Hospital
  • Conneaut, OH
  • NPI 1902996119
  NPD tax ID

Locations

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

{
    "created_epoch": "1686614400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714348800000",
    "number": "1285318998",
    "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": "167 W MAIN RD STE D",
            "city": "CONNEAUT",
            "state": "OH",
            "postal_code": "440302057",
            "telephone_number": "440-593-0197"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "167 W Main Rd Ste F",
            "address_purpose": "LOCATION",
            "city": "Conneaut",
            "state": "OH",
            "postal_code": "440302057",
            "country_code": "US",
            "telephone_number": "440-599-7466",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "UNIVERSITY HOSPITALS CONNEAUT MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-13",
        "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": "Conneaut RHC 167 Main",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Conneaut RHC 167 Main",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• April Dawn Tuttle, R.N.
• Grace Tuuri, RN
• University Emergency Specialists LLC
• University Hospitals Conneaut Medical Center
• University Hospitals Conneaut Medical Center
• University Hospitals Conneaut Medical Center
• University Hospitals Conneaut Medical Center
• University Hospitals Medical Group, Inc.
• University Primary Care Practices Inc
• University Primary Care Practices, Inc

• Rural Health Clinic/Center in Conneaut, OH
• Providers in Conneaut, OH by specialty
• Rural Health Clinic/Center in Ohio

• 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.