Provider Demographics
NPI:1619330669
Name:AKRON SUMMIT COMMUNITY ACTION, INC
Entity Type:Organization
Organization Name:AKRON SUMMIT COMMUNITY ACTION, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT & CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:MALCOLM
Authorized Official - Middle Name:J
Authorized Official - Last Name:COSTA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:330-376-7730
Mailing Address - Street 1:55 E MILL ST
Mailing Address - Street 2:
Mailing Address - City:AKRON
Mailing Address - State:OH
Mailing Address - Zip Code:44308-1405
Mailing Address - Country:US
Mailing Address - Phone:330-376-7730
Mailing Address - Fax:330-996-4040
Practice Address - Street 1:55 E MILL ST
Practice Address - Street 2:
Practice Address - City:AKRON
Practice Address - State:OH
Practice Address - Zip Code:44308-1405
Practice Address - Country:US
Practice Address - Phone:330-376-7730
Practice Address - Fax:330-996-4040
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-03-29
Last Update Date:2016-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes172V00000XOther Service ProvidersCommunity Health WorkerGroup - Single Specialty