Provider Demographics
NPI:1346331030
Name:PLUM CREEK ASSOCIATES, INC.
Entity Type:Organization
Organization Name:PLUM CREEK ASSOCIATES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:EDITH
Authorized Official - Middle Name:MARYA
Authorized Official - Last Name:FUCHSMAN
Authorized Official - Suffix:
Authorized Official - Credentials:LISW
Authorized Official - Phone:440-775-7171
Mailing Address - Street 1:5 SOUTH MAIN STREET
Mailing Address - Street 2:SUITE 302
Mailing Address - City:OBERLIN
Mailing Address - State:OH
Mailing Address - Zip Code:44074
Mailing Address - Country:US
Mailing Address - Phone:440-775-7171
Mailing Address - Fax:440-774-2339
Practice Address - Street 1:5 SOUTH MAIN STREET
Practice Address - Street 2:SUITE 302
Practice Address - City:OBERLIN
Practice Address - State:OH
Practice Address - Zip Code:44074
Practice Address - Country:US
Practice Address - Phone:440-775-7171
Practice Address - Fax:440-774-2339
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-27
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OHPL9325281Medicare ID - Type Unspecified