Healthcare Provider Details

I. General information

NPI: 1245296532
Provider Name (Legal Business Name): MEDICAL CENTER OF RITTMAN INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/25/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

223 N MAIN ST
RITTMAN OH
44270
US

IV. Provider business mailing address

223 N MAIN ST
RITTMAN OH
44270
US

V. Phone/Fax

Practice location:
  • Phone: 330-925-4911
  • Fax: 330-927-9258
Mailing address:
  • Phone: 330-925-4911
  • Fax: 330-927-9258

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. PAUL ERNEST FRACASSO
Title or Position: PRESIDENT
Credential: DO
Phone: 330-925-4911