Healthcare Provider Details

I. General information

NPI: 1154565455
Provider Name (Legal Business Name): EAST OHIO REGIONAL HOSPITAL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/30/2009
Last Update Date: 04/30/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

90 N 4TH ST
MARTINS FERRY OH
43935-1648
US

IV. Provider business mailing address

90 N 4TH ST
MARTINS FERRY OH
43935-1648
US

V. Phone/Fax

Practice location:
  • Phone: 740-633-1100
  • Fax:
Mailing address:
  • Phone: 740-633-1100
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number1114
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code332BN1400X
TaxonomyNursing Facility Supplies (DME)
License Number1114
License Number StateOH
# 3
Primary TaxonomyN
Taxonomy Code332BP3500X
TaxonomyParenteral & Enteral Nutrition Supplies (DME)
License Number1114
License Number StateOH
# 4
Primary TaxonomyN
Taxonomy Code332BX2000X
TaxonomyOxygen Equipment & Supplies (DME)
License Number1114
License Number StateOH

VIII. Authorized Official

Name: MR. BRIAN FELICI
Title or Position: CEO
Credential:
Phone: 740-633-1100