Provider Demographics
NPI:1659375673
Name:THE CITY HOSPITAL ASSOCIATION D.B.A EAST LIVERPOOL CITY HOSPITAL
Entity Type:Organization
Organization Name:THE CITY HOSPITAL ASSOCIATION D.B.A EAST LIVERPOOL CITY HOSPITAL
Other - Org Name:EAST LIVERPOOL CITY HOSPITAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CHIEF FINANCIAL OFFICER
Authorized Official - Prefix:MRS
Authorized Official - First Name:JAMIE
Authorized Official - Middle Name:
Authorized Official - Last Name:MCKENZIE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:330-386-2655
Mailing Address - Street 1:425 WEST FIFTH STREET
Mailing Address - Street 2:
Mailing Address - City:EAST LIVERPOOL
Mailing Address - State:OH
Mailing Address - Zip Code:43920-2405
Mailing Address - Country:US
Mailing Address - Phone:330-385-7200
Mailing Address - Fax:330-386-2074
Practice Address - Street 1:425 WEST FIFTH STREET
Practice Address - Street 2:
Practice Address - City:EAST LIVERPOOL
Practice Address - State:OH
Practice Address - Zip Code:43920-2405
Practice Address - Country:US
Practice Address - Phone:330-385-7200
Practice Address - Fax:330-386-2074
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-06-08
Last Update Date:2024-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH1127282N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2413481Medicaid
OH2413481Medicaid