Provider Demographics
NPI:1285607416
Name:ASHTABULA COUNTY MEDICAL CENTER
Entity type:Organization
Organization Name:ASHTABULA COUNTY MEDICAL CENTER
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:ALANNA
Authorized Official - Middle Name:JO
Authorized Official - Last Name:DAMES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:440-997-6553
Mailing Address - Street 1:PO BOX 74734
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44194-4734
Mailing Address - Country:US
Mailing Address - Phone:440-997-6622
Mailing Address - Fax:
Practice Address - Street 1:2420 LAKE AVE
Practice Address - Street 2:
Practice Address - City:ASHTABULA
Practice Address - State:OH
Practice Address - Zip Code:44004-4954
Practice Address - Country:US
Practice Address - Phone:440-997-2262
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-02-08
Last Update Date:2025-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH360125Medicare Oscar/Certification