Healthcare Provider Details

I. General information

NPI: 1326099102
Provider Name (Legal Business Name): SALEM COMMUNITY HOSPITAL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/15/2006
Last Update Date: 01/09/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1995 EAST STATE STREET
SALEM OH
44460
US

IV. Provider business mailing address

1995 EAST STATE STREET
SALEM OH
44460
US

V. Phone/Fax

Practice location:
  • Phone: 330-332-7171
  • Fax: 330-332-7476
Mailing address:
  • Phone: 330-332-7171
  • Fax: 330-332-7476

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number
License Number State

VIII. Authorized Official

Name: ANITA A HACKSTEDDE
Title or Position: PRESIDENT/CEO
Credential: M.D.
Phone: 330-332-7214