Provider Demographics
NPI:1184043002
Name:ACUTE CARE SPECIALISTS LLC
Entity Type:Organization
Organization Name:ACUTE CARE SPECIALISTS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:KRISTEN
Authorized Official - Middle Name:B
Authorized Official - Last Name:HUBER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:330-237-8000
Mailing Address - Street 1:6090 ROYALTON RD
Mailing Address - Street 2:SUITE #335
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44133-5104
Mailing Address - Country:US
Mailing Address - Phone:330-237-8000
Mailing Address - Fax:877-921-2530
Practice Address - Street 1:6090 ROYALTON RD
Practice Address - Street 2:SUITE #335
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44133-5104
Practice Address - Country:US
Practice Address - Phone:330-237-8000
Practice Address - Fax:877-921-2530
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-04-08
Last Update Date:2015-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35071679207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0101040Medicaid
OH=========00OtherBWC