Provider Demographics
NPI:1215582705
Name:SUMMA HEALTH SYSTEM
Entity Type:Organization
Organization Name:SUMMA HEALTH SYSTEM
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VP OF FINANCE, CFO
Authorized Official - Prefix:MR
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:
Authorized Official - Last Name:ONEILL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:330-996-8460
Mailing Address - Street 1:3780 MEDINA RD
Mailing Address - Street 2:
Mailing Address - City:MEDINA
Mailing Address - State:OH
Mailing Address - Zip Code:44256-9311
Mailing Address - Country:US
Mailing Address - Phone:330-721-1177
Mailing Address - Fax:330-721-1178
Practice Address - Street 1:3780 MEDINA RD
Practice Address - Street 2:
Practice Address - City:MEDINA
Practice Address - State:OH
Practice Address - Zip Code:44256-9311
Practice Address - Country:US
Practice Address - Phone:330-721-1177
Practice Address - Fax:330-721-1178
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-08-02
Last Update Date:2020-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QC1800XAmbulatory Health Care FacilitiesClinic/CenterCorporate Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH340714755OtherBUREAU OF WORKERS' COMPENSATION