Provider Demographics
NPI:1679504955
Name:CUYAHOGA FALLS GENERAL HOSPITAL
Entity type:Organization
Organization Name:CUYAHOGA FALLS GENERAL HOSPITAL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VP OF FINANCE, CFO
Authorized Official - Prefix:MR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:
Authorized Official - Last Name:BROCKETTI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:330-971-7438
Mailing Address - Street 1:1900 23RD ST
Mailing Address - Street 2:
Mailing Address - City:CUYAHOGA FALLS
Mailing Address - State:OH
Mailing Address - Zip Code:44223-1404
Mailing Address - Country:US
Mailing Address - Phone:330-971-7000
Mailing Address - Fax:330-971-7277
Practice Address - Street 1:1900 23RD ST
Practice Address - Street 2:
Practice Address - City:CUYAHOGA FALLS
Practice Address - State:OH
Practice Address - Zip Code:44223-1404
Practice Address - Country:US
Practice Address - Phone:330-971-7000
Practice Address - Fax:330-971-7277
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-05
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH730282OtherBUCKEYE COMMUNITY HEALTH
OH730319OtherBUCKEYE COMMUNITY HEALTH
OH730485OtherBUCKEYE COMMUNITY HEALTH
OH000000157063OtherANTHEM
OH732762OtherBUCKEYE COMMUNITY HEALTH
OH3389506Medicaid
OH=========034OtherMEDICAL MUTUAL OF OHIO
OH730319OtherBUCKEYE COMMUNITY HEALTH
OH=========OtherSUMMACARE SECURE