MARIETTA MEMORIAL HOSPITAL NPI 1417656059

NPI Information

NPI: 1417656059
Provider Name: MARIETTA MEMORIAL HOSPITAL

Doing Business As: DEPARTMENT OF PRIMARY CARE-WATERFORD

Classification: Clinic/Center - 261QR1300X
Entity Type: Organization

Specialization: Rural Health

Address:
151 ANDERSON LN
WATERFORD, OH
ZIP 45786
Phone: (740) 984-2332
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MARIETTA MEMORIAL HOSPITAL is a rural health clinic center in Waterford, OH. MARIETTA MEMORIAL HOSPITAL NPI is 1417656059. The provider is registered as an organization entity type.
The provider Is Doing Business As Department Of Primary Care-waterford.

The provider's business location address is:

151 ANDERSON LN
WATERFORD, OH
ZIP 45786-312
Phone: (740) 984-2332
Fax: (740) 984-4435

The provider's authorized official is Paul G Westbrock .
The authorized official title is Vp, Legal Affairs and has the following contact phone number (740) 374-1581.

The CLIA number assigned to this NPI record is 36D0351164 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/2/2023 and was last updated on 3/29/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QR1300X	Clinic/Center	Rural Health			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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