Organization Active NPI

Conneaut City Health Department

  • State or Local Public Health Clinic/Center
  • Conneaut, OH
National Provider Identifier
1720036932
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
State or Local Public Health Clinic/CenterTaxonomy code 261QP0905X
Legal business name
CONNEAUT CITY HEALTH DEPARTMENT
Practice address
327 Mill St
Conneaut, OH 44030-2439
Phone
(440) 593-3087
Fax
(440) 593-6026
NPI assigned
May 4, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Sally K Kennedy, RN
Title
Health Commissioner
Phone
(440) 593-3087

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
State or Local Public Health Clinic/Center 261QP0905X NU Primary

Addresses

Primary practice location

327 Mill St
Conneaut, OH 44030-2439

Mailing address

327 Mill Street
Conneaut, OH 44030
Phone (440) 593-3087

Other identifiers 1

IdentifierTypeStateIssuer
0666748MedicaidOH

National Provider Directory

National Provider Directory
Tax ID family
City of Conneaut2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

327 Mill St
Conneaut, OH 44030
Phone (216) 593-3087

NPI Registry JSON

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

{
    "created_epoch": "1146700800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1720036932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "327 MILL STREET",
            "city": "CONNEAUT",
            "state": "OH",
            "postal_code": "44030",
            "telephone_number": "440-593-3087",
            "fax_number": "440-593-6026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "327 MILL ST",
            "city": "CONNEAUT",
            "state": "OH",
            "postal_code": "440302439",
            "telephone_number": "440-593-3087",
            "fax_number": "440-593-6026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONNEAUT CITY HEALTH DEPARTMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KENNEDY",
        "authorized_official_first_name": "SALLY",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "HEALTH COMMISSIONER",
        "authorized_official_telephone_number": "440-593-3087",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "261QP0905X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Public Health, State or Local",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0666748",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Conneaut, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.