Healthcare Provider Details

I. General information

NPI: 1740573310
Provider Name (Legal Business Name): ADAMS COUNTY HOSPITAL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/16/2011
Last Update Date: 12/04/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

130 WAYNE FRYE DR
MANCHESTER OH
45144-9314
US

IV. Provider business mailing address

230 MEDICAL CENTER DR
SEAMAN OH
45679-8002
US

V. Phone/Fax

Practice location:
  • Phone: 937-549-4777
  • Fax:
Mailing address:
  • Phone: 937-386-3400
  • Fax: 937-386-3459

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QH0100X
TaxonomyHealth Service Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MR. PETE R. DAGENBACH
Title or Position: CFO
Credential:
Phone: 937-386-3400