Provider Demographics
NPI:1508049800
Name:SUMMA BARBERTON CITIZENS HOSPITAL
Entity Type:Organization
Organization Name:SUMMA BARBERTON CITIZENS HOSPITAL
Other - Org Name:BARBERTON CITIZENS HOSPITAL PSYCHIATRIC UNIT
Other - Org Type:Other Name
Authorized Official - Title/Position:ATTORNEY
Authorized Official - Prefix:
Authorized Official - First Name:ALLYSON
Authorized Official - Middle Name:HANCOCK
Authorized Official - Last Name:KINZEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-646-1351
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:330-615-3026
Mailing Address - Fax:330-615-3033
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:330-615-3026
Practice Address - Fax:330-615-3033
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:SUMMA BARBERTON CITIZENS HOSPITAL
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2007-12-10
Last Update Date:2007-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHPPHO3-2413273R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes273R00000XHospital UnitsPsychiatric Unit