Healthcare Provider Details

I. General information

NPI: 1114640240
Provider Name (Legal Business Name): ADAMS COUNTY REGIONAL MEDICAL CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/23/2022
Last Update Date: 09/23/2022
Certification Date: 09/23/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

154 ELLIOTT AVE
PEEBLES OH
45660-1028
US

IV. Provider business mailing address

230 MEDICAL CENTER DR
SEAMAN OH
45679-8002
US

V. Phone/Fax

Practice location:
  • Phone: 937-587-2618
  • Fax: 937-587-2288
Mailing address:
  • Phone: 937-386-3400
  • Fax: 937-386-3459

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QR1300X
TaxonomyRural Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: PETE DAGENBACH
Title or Position: CFO
Credential:
Phone: 937-386-3007