Basic Information
| Provider Information | |||||||||
| NPI: | 1881979698 | ||||||||
| EntityType: | 2 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | FISHER TITUS MEDICAL CENTER | ||||||||
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| Mailing Information | |||||||||
| Address1: | 272 BENEDICT AVENUE | ||||||||
| Address2: | |||||||||
| City: | NORWALK | ||||||||
| State: | OH | ||||||||
| PostalCode: | 448472374 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4196688101 | ||||||||
| FaxNumber: | 4196602963 | ||||||||
| Practice Location | |||||||||
| Address1: | 272 BENEDICT AVENUE | ||||||||
| Address2: | PHYSICAL THERAPY DEPT | ||||||||
| City: | NORWALK | ||||||||
| State: | OH | ||||||||
| PostalCode: | 448472374 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4196688101 | ||||||||
| FaxNumber: | 4196602963 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 10/13/2011 | ||||||||
| LastUpdateDate: | 10/13/2011 | ||||||||
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| AuthorizedOfficialLastName: | MARTIN | ||||||||
| AuthorizedOfficialFirstName: | PATRICK | ||||||||
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| AuthorizedOfficialTitleorPosition: | PRESIDENT | ||||||||
| AuthorizedOfficialTelephone: | 4196688101 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | MR. | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 282N00000X | AT-1707 | OH | Y | Hospitals | General Acute Care Hospital |
No ID Information.