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NPI Code Detail

MEDICARE: ORRVILLE HOSPITAL FOUNDATION

MEDICARE: ORRVILLE HOSPITAL FOUNDATION
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
13336I0012XInstitutional PharmacyHOS.020489400-03OH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
12080629OTHERPK

General Provider Information

NPI Number : 1639211444
Entity Type Code : Organization
Provider Name (Legal Business Name) : ORRVILLE HOSPITAL FOUNDATION
Provider Business Mailing Address
First Line : 832 S MAIN ST
Second Line :
City : ORRVILLE
State : OH
Zip : 44667-2208
Country : US
Telephone Number : 330-684-4712
Fax Number : 330-684-4796
Provider Business Practice Location Address
First Line : 832 S MAIN ST
Second Line :
City : ORRVILLE
State : OH
Zip : 44667-2208
Country : US
Telephone Number : 330-684-4712
Fax Number : 330-684-4796
Authorized Official
Title or Position : PHARM MANG
Name : CHARLES KAIL
Credential : RPH
Telephone Number : 330-684-4712
Provider Enumeration Date : 02/12/2007
Last Update Date : 04/19/2016

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Directions to “ORRVILLE HOSPITAL FOUNDATION ” Practice Location

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