Healthcare Provider Details

I. General information

NPI: 1710162540
Provider Name (Legal Business Name): BAY PARK COMMUNITY HOSPITAL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/28/2007
Last Update Date: 12/28/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2801 BAY PARK DR
OREGON OH
43616-4920
US

IV. Provider business mailing address

PO BOX 633390
CINCINNATI OH
45263-0001
US

V. Phone/Fax

Practice location:
  • Phone: 419-690-7900
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207VX0000X
TaxonomyObstetrics Physician
License Number
License Number State

VIII. Authorized Official

Name: DARRIN ARQUETTE
Title or Position: CFO
Credential:
Phone: 419-690-8751