Provider Demographics
NPI:1700049095
Name:NORTH CENTRAL EMERGENCY ASSOCIATES, LLC
Entity Type:Organization
Organization Name:NORTH CENTRAL EMERGENCY ASSOCIATES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:KENNETH
Authorized Official - Middle Name:L
Authorized Official - Last Name:RAUSCHER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:330-864-7109
Mailing Address - Street 1:3090 W MARKET ST
Mailing Address - Street 2:SUITE 102
Mailing Address - City:FAIRLAWN
Mailing Address - State:OH
Mailing Address - Zip Code:44333-3608
Mailing Address - Country:US
Mailing Address - Phone:330-864-7109
Mailing Address - Fax:
Practice Address - Street 1:272 BENEDICT AVE
Practice Address - Street 2:
Practice Address - City:NORWALK
Practice Address - State:OH
Practice Address - Zip Code:44857-2374
Practice Address - Country:US
Practice Address - Phone:419-663-1975
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-07-07
Last Update Date:2008-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency MedicineGroup - Multi-Specialty