Healthcare Provider Details

I. General information

NPI: 1730872235
Provider Name (Legal Business Name): HOCKING VALLEY COMMUNITY HOSPITAL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/31/2023
Last Update Date: 08/25/2026
Certification Date: 08/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14474 STATE ROUTE 328
LOGAN OH
43138
US

IV. Provider business mailing address

PO BOX 966
LOGAN OH
43138-0966
US

V. Phone/Fax

Practice location:
  • Phone: 740-380-8389
  • Fax:
Mailing address:
  • Phone: 740-380-8389
  • Fax: 740-385-7458

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2300X
TaxonomyPrimary Care Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QS1000X
TaxonomyStudent Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: KIMBERLY BROWN
Title or Position: CREDENTIALING
Credential:
Phone: 740-380-8350