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NPI Code Detail

MEDICARE: MARION GENERAL HOSPITAL FOUNDATION, INC.

MEDICARE: MARION GENERAL HOSPITAL FOUNDATION, INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207P00000XEmergency Medicine Physician991342OH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2000000225591OTHEROHBC/BS GRP PROVIDER NUMBER

General Provider Information

NPI Number : 1134114077
Entity Type Code : Organization
Provider Name (Legal Business Name) : MARION GENERAL HOSPITAL FOUNDATION, INC.
Provider Business Mailing Address
First Line : 4750 HEMPSTEAD STATION DR
Second Line :
City : KETTERING
State : OH
Zip : 45429-5164
Country : US
Telephone Number : 800-875-0136
Fax Number : 937-619-4231
Provider Business Practice Location Address
First Line : 1000 MCKINLEY PARK DR
Second Line :
City : MARION
State : OH
Zip : 43302-6399
Country : US
Telephone Number : 740-383-8700
Fax Number : 740-383-8517
Authorized Official
Title or Position : CFO
Name : JERRY FEYH
Credential :
Telephone Number : 740-383-8700
Provider Enumeration Date : 09/16/2005
Last Update Date : 04/20/2008

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Directions to “MARION GENERAL HOSPITAL FOUNDATION, INC. ” Practice Location

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