Healthcare Provider Details

I. General information

NPI: 1194323162
Provider Name (Legal Business Name): EAST OHIO HOSPITAL, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/13/2020
Last Update Date: 12/22/2020
Certification Date: 12/22/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

90 N 4TH STREET
MARTINS FERRY OH
43935
US

IV. Provider business mailing address

90 N 4TH STREET
MARTINS FERRY OH
43935
US

V. Phone/Fax

Practice location:
  • Phone: 304-685-7012
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code3336L0003X
TaxonomyLong Term Care Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: BERNARD ALBERTINI
Title or Position: ADMINISTRATOR AND CHIEF OPERATING O
Credential: FACHE
Phone: 740-633-4205