Organization · NPI-2

Akron Va Medical Center

Special Hospital · Akron, OH

NPI number1154431807
StatusActive
Last updated in NPPESAug 22, 2020

Details

NPI
1154431807
Entity type
Organization (NPI-2)
Legal business name
Akron Va Medical Center
Organization subpart
No
Enumeration date
Aug 30, 2006
Last updated
Aug 22, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
284300000X Special Hospital448OHYes

Practice location

55 W Waterloo Rd
Akron, OH 44319-1116

Phone 330-724-7715

Mailing address

211 Ridge Rd
Mogadore, OH 44260-2022

Phone 330-628-5508

Authorized official

Peter John Russo
Physician Assistant-Certified
3307247715

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