Provider Demographics
NPI:1164400198
Name:SUMMA HEALTH SYSTEM
Entity Type:Organization
Organization Name:SUMMA HEALTH SYSTEM
Other - Org Name:SUMMA'S HOMECARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:VICE PRESIDENT AND CFO
Authorized Official - Prefix:MR
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:P
Authorized Official - Last Name:O'NEILL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:330-996-8460
Mailing Address - Street 1:1077 GORGE BOULEVARD
Mailing Address - Street 2:
Mailing Address - City:AKRON
Mailing Address - State:OH
Mailing Address - Zip Code:44310
Mailing Address - Country:US
Mailing Address - Phone:234-312-5500
Mailing Address - Fax:234-312-6469
Practice Address - Street 1:1077 GORGE BOULEVARD
Practice Address - Street 2:
Practice Address - City:AKRON
Practice Address - State:OH
Practice Address - Zip Code:44310
Practice Address - Country:US
Practice Address - Phone:234-312-5500
Practice Address - Fax:234-312-6469
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-01-09
Last Update Date:2016-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2011638Medicaid
=========OtherCHAMPUS-VA
OH2011638Medicaid