Healthcare Provider Details

I. General information

NPI: 1053999367
Provider Name (Legal Business Name): BARNESVILLE HOSPITAL ASSOCIATION, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/30/2021
Last Update Date: 10/02/2023
Certification Date: 10/02/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

66840 BELMONT MORRISTOWN RD
BELMONT OH
43718-9665
US

IV. Provider business mailing address

639 W MAIN ST
BARNESVILLE OH
43713-1039
US

V. Phone/Fax

Practice location:
  • Phone: 740-782-1031
  • Fax:
Mailing address:
  • Phone:
  • Fax:

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: WILLIE COOPER-LOHR
Title or Position: CFO
Credential:
Phone: 740-425-5116