Healthcare Provider Details

I. General information

NPI: 1235135450
Provider Name (Legal Business Name): BARNESVILLE HOSPITAL ASSOCIATION, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/22/2005
Last Update Date: 10/03/2023
Certification Date: 10/03/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

639 W. MAIN ST.
BARNESVILLE OH
43713-0309
US

IV. Provider business mailing address

639 W. MAIN ST. P.O. BOX 309
BARNESVILLE OH
43713-0309
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 Code282NC0060X
TaxonomyCritical Access Hospital
License Number361321
License Number StateOH

VIII. Authorized Official

Name: MR. DAVID A PHILLIPS
Title or Position: CHIEF EXECUTIVE OFFICER
Credential: C.E.O.
Phone: 740-425-5101