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General NPI Number Information
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NPI Number | 1255768552
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Entity Type | Organization
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Legal Business Name | HOLZER HOSPITAL FOUNDATION
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Dates
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Enumeration Date | 10/01/2013
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Last Update Date | 04/10/2025
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Provider Practice Location Address
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Address Line | 2605 JACKSON AVE
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City | POINT PLEASANT
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State | WV
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Zip | 25550-1615
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Country | US
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Telephone | 304-675-6380
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Fax | 304-675-6882
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Provider Business Mailing Address
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Address Line | 100 JACKSON PIKE
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City | GALLIPOLIS
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State | OH
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Zip | 45631-1560
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Country | US
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Telephone | 740-446-5929
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Fax | 740-446-5142
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Authorized Official
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Title or Position | CEO
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Name | RODNEY STOUT
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Credential | MD
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Telephone | 740-446-5051
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | APPLIED
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License Number State | WV
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