Provider Demographics
NPI:1821174640
Name:SUMMA HEALTH SYSTEM
Entity Type:Organization
Organization Name:SUMMA HEALTH SYSTEM
Other - Org Name:CORPORATE HEALTH
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATIVE COORDINATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:HESTER
Authorized Official - Middle Name:
Authorized Official - Last Name:WHITT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:330-940-5732
Mailing Address - Street 1:1860 STATE ROAD, SUITE F
Mailing Address - Street 2:
Mailing Address - City:CUYAHOGA
Mailing Address - State:OH
Mailing Address - Zip Code:44223
Mailing Address - Country:US
Mailing Address - Phone:330-940-5770
Mailing Address - Fax:330-940-5771
Practice Address - Street 1:1860 STATE ROAD, SUITE F
Practice Address - Street 2:
Practice Address - City:CUYAHOGA
Practice Address - State:OH
Practice Address - Zip Code:44223
Practice Address - Country:US
Practice Address - Phone:330-940-5770
Practice Address - Fax:330-940-5771
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-27
Last Update Date:2020-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QC1800XAmbulatory Health Care FacilitiesClinic/CenterCorporate Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH=========OtherBUREAU OF WORKERS' COMPEN