Organization Active NPI

Ravenna City Health Department

  • Public Health or Welfare Agency
  • Ravenna, OH
National Provider Identifier
1811952609
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health or Welfare AgencyTaxonomy code 251K00000X
Legal business name
RAVENNA CITY HEALTH DEPARTMENT
Practice address
530 N Freedom St
Ravenna, OH 44266-2404
Phone
(330) 297-2163
Fax
(330) 296-4038
NPI assigned
Apr 18, 2006
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
Mr. Kimble R Cecora
Title
Finance Director
Phone
(330) 297-2152

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health or Welfare Agency 251K00000X Primary

Addresses

Primary practice location

530 N Freedom St
Ravenna, OH 44266-2404

Mailing address

530 N Freedom St
Ravenna, OH 44266-2404
Phone (330) 297-2163

Other identifiers 1

IdentifierTypeStateIssuer
2538150MedicaidOH

National Provider Directory

National Provider Directory

Locations

530 N Freedom St
Ravenna, OH 44266
Phone (330) 297-2163

NPI Registry JSON

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

{
    "created_epoch": "1145318400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1811952609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "530 N FREEDOM ST",
            "city": "RAVENNA",
            "state": "OH",
            "postal_code": "442662404",
            "telephone_number": "330-297-2163",
            "fax_number": "330-296-4038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "530 N FREEDOM ST",
            "city": "RAVENNA",
            "state": "OH",
            "postal_code": "442662404",
            "telephone_number": "330-297-2163",
            "fax_number": "330-296-4038"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAVENNA CITY HEALTH DEPARTMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CECORA",
        "authorized_official_first_name": "KIMBLE",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "FINANCE DIRECTOR",
        "authorized_official_telephone_number": "330-297-2152",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2538150",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ravenna, 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.