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General NPI Number Information
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NPI Number | 1164627733
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Entity Type | Organization
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Legal Business Name | MEDICAL CENTER OF NEWARK, L.L.C.
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Dates
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Enumeration Date | 06/15/2007
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Last Update Date | 12/03/2010
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Provider Practice Location Address
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Address Line | 2000 TAMARACK RD
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City | NEWARK
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State | OH
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Zip | 43055-1183
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Country | US
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Telephone | 740-522-7800
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Fax | 740-788-6002
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Provider Business Mailing Address
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Address Line | 2000 TAMARACK RD
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City | NEWARK
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State | OH
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Zip | 43055-1183
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Country | US
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Telephone | 740-522-7800
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Fax | 740-788-6002
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Authorized Official
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Title or Position | CFO
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Name | DAVE SHEPPARD
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Credential |
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Telephone | 740-522-7821
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 282N00000X
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Taxonomy Name | General Acute Care Hospital
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License Number |
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License Number State |
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