Healthcare Provider Details

I. General information

NPI: 1487450813
Provider Name (Legal Business Name): ADENA HEALTH SYSTEM
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/25/2025
Last Update Date: 02/25/2025
Certification Date: 02/25/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

160 ROBERTS LN
HILLSBORO OH
45133-7615
US

IV. Provider business mailing address

272 HOSPITAL RD
CHILLICOTHEE OH
45601-9031
US

V. Phone/Fax

Practice location:
  • Phone: 937-393-9955
  • Fax:
Mailing address:
  • Phone: 740-779-4481
  • Fax: 740-779-7477

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: JAMES PATRICE MCMANUS
Title or Position: CHIEF FINANCIAL OFFICER
Credential:
Phone: 740-779-7582