Provider Demographics
NPI:1326597063
Name:SUMMA HEALTH SYSTEM
Entity Type:Organization
Organization Name:SUMMA HEALTH SYSTEM
Other - Org Name:BARBERTON CAMPUS
Other - Org Type:Other Name
Authorized Official - Title/Position:SYSTEM DIRECTOR PHARMACY
Authorized Official - Prefix:MR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:FEUCHT
Authorized Official - Suffix:II
Authorized Official - Credentials:RPH
Authorized Official - Phone:330-375-4397
Mailing Address - Street 1:155 5TH ST NE
Mailing Address - Street 2:
Mailing Address - City:BARBERTON
Mailing Address - State:OH
Mailing Address - Zip Code:44203-3332
Mailing Address - Country:US
Mailing Address - Phone:330-615-3288
Mailing Address - Fax:330-375-7622
Practice Address - Street 1:155 5TH ST NE
Practice Address - Street 2:
Practice Address - City:BARBERTON
Practice Address - State:OH
Practice Address - Zip Code:44203-3332
Practice Address - Country:US
Practice Address - Phone:330-615-3288
Practice Address - Fax:330-375-7622
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:SUMMA HEALTH
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2016-09-22
Last Update Date:2016-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH02096855003261Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center