Provider Demographics
NPI:1285758722
Name:AUSTINTOWN EMERGENCY ROOM, INC.
Entity type:Organization
Organization Name:AUSTINTOWN EMERGENCY ROOM, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:LINDA
Authorized Official - Middle Name:
Authorized Official - Last Name:SIMEONE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:330-792-4755
Mailing Address - Street 1:45 N CANFIELD NILES RD
Mailing Address - Street 2:P.O. BOX 1152
Mailing Address - City:AUSTINTOWN
Mailing Address - State:OH
Mailing Address - Zip Code:44515-2343
Mailing Address - Country:US
Mailing Address - Phone:330-792-2020
Mailing Address - Fax:330-792-4798
Practice Address - Street 1:45 N CANFIELD NILES RD
Practice Address - Street 2:
Practice Address - City:AUSTINTOWN
Practice Address - State:OH
Practice Address - Zip Code:44515-2343
Practice Address - Country:US
Practice Address - Phone:330-792-2020
Practice Address - Fax:330-792-4798
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-19
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QE0002XAmbulatory Health Care FacilitiesClinic/CenterEmergency Care