Provider Demographics
NPI:1508982026
Name:BARBERTON HEALTH DISTRICT
Entity Type:Organization
Organization Name:BARBERTON HEALTH DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLERK
Authorized Official - Prefix:MRS
Authorized Official - First Name:KATHY
Authorized Official - Middle Name:
Authorized Official - Last Name:ZUPKO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:330-745-6869
Mailing Address - Street 1:571 W TUSCARAWAS AVE
Mailing Address - Street 2:
Mailing Address - City:BARBERTON
Mailing Address - State:OH
Mailing Address - Zip Code:44203-2582
Mailing Address - Country:US
Mailing Address - Phone:330-745-6869
Mailing Address - Fax:330-745-5681
Practice Address - Street 1:571 W TUSCARAWAS AVE
Practice Address - Street 2:
Practice Address - City:BARBERTON
Practice Address - State:OH
Practice Address - Zip Code:44203-2582
Practice Address - Country:US
Practice Address - Phone:330-745-6869
Practice Address - Fax:330-745-5681
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-22
Last Update Date:2008-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0980336Medicaid
OH0980336Medicaid