Healthcare Provider Details

I. General information

NPI: 1134826027
Provider Name (Legal Business Name): BARNESVILLE HOSPITAL ASSOCIATION, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/10/2023
Last Update Date: 02/22/2023
Certification Date: 02/22/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

639 W MAIN ST
BARNESVILLE OH
43713-1039
US

IV. Provider business mailing address

639 W MAIN ST
BARNESVILLE OH
43713-1039
US

V. Phone/Fax

Practice location:
  • Phone: 740-425-3941
  • Fax: 740-425-9213
Mailing address:
  • Phone: 740-425-3941
  • Fax: 740-425-9213

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: WILLIE COOPER-LOHR
Title or Position: CFO
Credential:
Phone: 740-425-5150