Provider Demographics
NPI:1821035940
Name:AKRON GENERAL MEDICAL CENTER
Entity Type:Organization
Organization Name:AKRON GENERAL MEDICAL CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF ACCOUNTING OFFICER AND CONTRO
Authorized Official - Prefix:
Authorized Official - First Name:TIMOTHY
Authorized Official - Middle Name:L
Authorized Official - Last Name:LONGVILLE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:216-636-7416
Mailing Address - Street 1:1 AKRON GENERAL AVE
Mailing Address - Street 2:
Mailing Address - City:AKRON
Mailing Address - State:OH
Mailing Address - Zip Code:44307-2432
Mailing Address - Country:US
Mailing Address - Phone:330-344-6000
Mailing Address - Fax:
Practice Address - Street 1:1 AKRON GENERAL AVE
Practice Address - Street 2:
Practice Address - City:AKRON
Practice Address - State:OH
Practice Address - Zip Code:44307-2432
Practice Address - Country:US
Practice Address - Phone:330-344-6000
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-31
Last Update Date:2022-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0066972OtherAETNA HEALTH PLANS
OH18900OtherQUALCHOICE
OH600961OtherBUCKEYE MEDICAID HMO
OH039904600OtherBLACK LUNG FEDERAL PROGRA
OH100110OtherKAISER
OH0069483Medicaid
OH5000001OtherUNITED HEALTHCARE OF OHIO
OH000000110984OtherANTHEM BLUE CROSS
OH360027Medicare ID - Type UnspecifiedMEDICARE PROVIDER NUMBER
OH=========-093OtherMEDICAL MUTUAL OF OHIO
OH5000001OtherUNITED HEALTHCARE OF OHIO
OH0069483Medicaid