Healthcare Provider Details

I. General information

NPI: 1750227377
Provider Name (Legal Business Name): SALEM COMMUNITY HOSPITAL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/27/2026
Last Update Date: 04/27/2026
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

48462 BELL SCHOOL ROAD SUITE B
CALCUTTA OH
43920-9625
US

IV. Provider business mailing address

48462 BELL SCHOOL ROAD SUITE B
CALCUTTA OH
43920-9625
US

V. Phone/Fax

Practice location:
  • Phone: 330-556-5752
  • Fax: 330-752-0160
Mailing address:
  • Phone: 330-556-5752
  • Fax: 330-752-0160

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QR0200X
TaxonomyRadiology Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code291U00000X
TaxonomyClinical Medical Laboratory
License Number
License Number State

VIII. Authorized Official

Name: ANITA A HACKSTEDDE
Title or Position: PRESIDENT/CEO
Credential: MD
Phone: 330-332-7214