CRAIG BEACH VILLAGE; NPI #1689402109

Contact Information

CRAIG BEACH VILLAGE

1797 GRANDVIEW RD
LAKE MILTON, OH 44429

Phone: 330-654-2107
Fax: 330-654-4157
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Land Transport	3416L0300X	59	Ambulance Service Provider

Indicates primary specialty

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NPI Profile & details for CRAIG BEACH VILLAGE

NPI Number	`1689402109`
LBN Legal business name	CRAIG BEACH VILLAGE
Authorized official	PATRICIA HAMMOND - (FISCAL OFFICER)
Entity	Organization
Organization subpart ¹	Yes
Enumeration date	07/25/2024
Last updated	04/17/2025 - More than a year ago
Identifiers	n/a

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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