Active NPI
Conneaut City Health Department
- State or Local Public Health Clinic/Center
- Conneaut, OH
National Provider Identifier
1720036932
On this page
Key facts
NPPES NPI Registry- Primary specialty
- State or Local Public Health Clinic/Center
- 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, 2020
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0666748 | Medicaid | OH |
National Provider Directory
National Provider Directory- Tax ID family
- City of Conneaut
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Land Ambulance
- Conneaut, OH
- NPI 1710072897
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.