Healthcare Provider Details

I. General information

NPI: 1215907522
Provider Name (Legal Business Name): GALION COMMUNITY HOSPITAL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/26/2006
Last Update Date: 03/29/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

269 PORTLANDWAY SOUTH
GALION OH
44833-2312
US

IV. Provider business mailing address

269 PORTLANDWAY SOUTH
GALION OH
44833-2312
US

V. Phone/Fax

Practice location:
  • Phone: 419-468-4841
  • Fax: 419-468-2381
Mailing address:
  • Phone: 419-468-4841
  • Fax: 419-468-2381

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number
License Number State
# 6
Primary TaxonomyN
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number
License Number State
# 7
Primary TaxonomyY
Taxonomy Code282NC0060X
TaxonomyCritical Access Hospital
License Number1132
License Number StateOH

VIII. Authorized Official

Name: DONALD ERIC DRAIME
Title or Position: CFO
Credential:
Phone: 419-468-0501