Healthcare Provider Details

I. General information

NPI: 1255970513
Provider Name (Legal Business Name): ORRVILLE HOSPITAL FOUNDATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/03/2020
Last Update Date: 02/03/2025
Certification Date: 02/03/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1020 TRUMP RD NW STE 2/4
CARROLLTON OH
44615-8422
US

IV. Provider business mailing address

PO BOX 80690
CANTON OH
44708-0690
US

V. Phone/Fax

Practice location:
  • Phone: 330-627-0884
  • Fax: 330-627-0885
Mailing address:
  • Phone: 330-479-8705
  • Fax: 330-479-9330

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: ADAM M LUNTZ
Title or Position: CFO
Credential:
Phone: 330-363-3889