Healthcare Provider Details

I. General information

NPI: 1023322674
Provider Name (Legal Business Name): GALION COMMUNITY HOSPITAL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/05/2010
Last Update Date: 08/05/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

955 BUCYRUS RD
GALION OH
44833-1509
US

IV. Provider business mailing address

955 BUCYRUS RD
GALION OH
44833-1509
US

V. Phone/Fax

Practice location:
  • Phone: 419-468-4220
  • Fax: 419-462-7019
Mailing address:
  • Phone: 419-468-4220
  • Fax: 419-462-7019

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