Provider Demographics
NPI:1043529670
Name:THE ASIAN SERVICES IN ACTION
Entity Type:Organization
Organization Name:THE ASIAN SERVICES IN ACTION
Other - Org Name:ASIA-INTERNATIONAL COMMUNITY HEALT CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:BYUN
Authorized Official - Suffix:
Authorized Official - Credentials:MPA
Authorized Official - Phone:330-535-3263
Mailing Address - Street 1:3631 PERKINS AVE STE 2AW
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44114-4702
Mailing Address - Country:US
Mailing Address - Phone:216-881-0330
Mailing Address - Fax:216-881-6920
Practice Address - Street 1:3820 SUPERIOR AVE E STE 214
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44114-4128
Practice Address - Country:US
Practice Address - Phone:216-361-1223
Practice Address - Fax:216-361-1568
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-09-30
Last Update Date:2015-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH901580251V00000X
261Q00000X, 261QF0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QF0400XAmbulatory Health Care FacilitiesClinic/CenterFederally Qualified Health Center (FQHC)
No251V00000XAgenciesVoluntary or Charitable
No261Q00000XAmbulatory Health Care FacilitiesClinic/Center
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH361051OtherCCN
OH37768104OtherUIN
OH36-1051OtherPTAN