Healthcare Provider Details

I. General information

NPI: 1326403023
Provider Name (Legal Business Name): ORRVILLE HOSPITAL FOUNDATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/22/2015
Last Update Date: 02/03/2025
Certification Date: 02/03/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

49 MAPLE STREET BOX 510
APPLE CREEK OH
44606
US

IV. Provider business mailing address

49 MAPLE STREET BOX 510
APPLE CREEK OH
44606
US

V. Phone/Fax

Practice location:
  • Phone: 330-698-2015
  • Fax: 330-698-2045
Mailing address:
  • Phone: 330-698-2015
  • Fax: 330-698-2045

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QR1300X
TaxonomyRural Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MATTHEW STEWART
Title or Position: CFO
Credential:
Phone: 330-684-4763