Provider Demographics
NPI:1912130691
Name:THE TOLEDO HOSPITAL
Entity Type:Organization
Organization Name:THE TOLEDO HOSPITAL
Other - Org Name:OCCUHEALTH
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CREDENTIALING SPECIALIST
Authorized Official - Prefix:
Authorized Official - First Name:LORRAINE
Authorized Official - Middle Name:
Authorized Official - Last Name:MCCUNE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:419-824-7264
Mailing Address - Street 1:5855 MONROE ST
Mailing Address - Street 2:
Mailing Address - City:SYLVANIA
Mailing Address - State:OH
Mailing Address - Zip Code:43560-2269
Mailing Address - Country:US
Mailing Address - Phone:419-824-7264
Mailing Address - Fax:419-824-7359
Practice Address - Street 1:2150 W CENTRAL AVE
Practice Address - Street 2:3RD FLOOR
Practice Address - City:TOLEDO
Practice Address - State:OH
Practice Address - Zip Code:43606-3846
Practice Address - Country:US
Practice Address - Phone:419-291-4290
Practice Address - Fax:419-291-6484
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:THE TOLEDO HOSPITAL
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2009-08-28
Last Update Date:2013-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2083X0100XAllopathic & Osteopathic PhysiciansPreventive MedicineOccupational MedicineGroup - Multi-Specialty