Healthcare Provider Details

I. General information

NPI: 1942529722
Provider Name (Legal Business Name): BROWN COUNTY GENERAL HOSPITAL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/19/2010
Last Update Date: 05/19/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

19589 ST RT 68
FAYETTEVILLE OH
45118
US

IV. Provider business mailing address

19589 ST RT 68
FAYETTEVILLE OH
45118
US

V. Phone/Fax

Practice location:
  • Phone: 513-875-3490
  • Fax: 513-875-3496
Mailing address:
  • Phone: 513-875-3490
  • Fax: 513-875-3496

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: MICHAEL C. PATTERSON
Title or Position: CEO
Credential:
Phone: 937-378-7501