Healthcare Provider Details

I. General information

NPI: 1124026638
Provider Name (Legal Business Name): MARION HEALTH SYSTEMS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/08/2005
Last Update Date: 05/20/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1050 DELAWARE AVE
MARION OH
43302-6416
US

IV. Provider business mailing address

1050 DELAWARE AVE
MARION OH
43302-6416
US

V. Phone/Fax

Practice location:
  • Phone: 740-383-8000
  • Fax: 740-375-8106
Mailing address:
  • Phone: 740-383-8000
  • Fax: 740-375-8106

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA1903X
TaxonomyAmbulatory Surgical Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MR. DAVID PAUL MILLER
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 740-383-7922