Provider Demographics
NPI:1710532213
Name:SUMMA HEALTH SYSTEM
Entity Type:Organization
Organization Name:SUMMA HEALTH SYSTEM
Other - Org Name:SUMMA HEALTH CORPORATE HEALTH WADSWORTH
Other - Org Type:Doing Business As
Authorized Official - Title/Position:VP OF FINANCE, CFO
Authorized Official - Prefix:
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:
Authorized Official - Last Name:ONEILL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:330-996-8460
Mailing Address - Street 1:191 WADSWORTH RD
Mailing Address - Street 2:
Mailing Address - City:WADSWORTH
Mailing Address - State:OH
Mailing Address - Zip Code:44281-9504
Mailing Address - Country:US
Mailing Address - Phone:330-331-1510
Mailing Address - Fax:330-331-1923
Practice Address - Street 1:191 WADSWORTH RD
Practice Address - Street 2:
Practice Address - City:WADSWORTH
Practice Address - State:OH
Practice Address - Zip Code:44281-9504
Practice Address - Country:US
Practice Address - Phone:330-331-1510
Practice Address - Fax:330-331-1923
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-08-02
Last Update Date:2020-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QC1800XAmbulatory Health Care FacilitiesClinic/CenterCorporate Health