Provider Demographics
NPI:1437606324
Name:AKRON CHILDREN'S HOSPITAL HEMOPHILIA TREATMENT CENTER
Entity Type:Organization
Organization Name:AKRON CHILDREN'S HOSPITAL HEMOPHILIA TREATMENT CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF FINANCIAL OFFICER & TREASURER
Authorized Official - Prefix:MR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:TRAINER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:330-543-4251
Mailing Address - Street 1:1 PERKINS SQUARE
Mailing Address - Street 2:
Mailing Address - City:AKRON
Mailing Address - State:OH
Mailing Address - Zip Code:44308-1062
Mailing Address - Country:US
Mailing Address - Phone:330-543-1000
Mailing Address - Fax:330-543-3616
Practice Address - Street 1:1 PERKINS SQUARE
Practice Address - Street 2:
Practice Address - City:AKRON
Practice Address - State:OH
Practice Address - Zip Code:44308-1062
Practice Address - Country:US
Practice Address - Phone:330-543-1000
Practice Address - Fax:330-543-3616
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CHILDREN'S HOSPITAL MEDICAL CENTER OF AKRON
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2016-09-08
Last Update Date:2016-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336H0001XSuppliersPharmacyHome Infusion Therapy Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH1473203Medicaid
OH1473203Medicaid