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NPI Code Detail

MEDICARE: HOLZER HOSPITAL FOUNDATION

MEDICARE: HOLZER HOSPITAL FOUNDATION
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
1251E00000XHome Health AgencyAPPLIEDWV

General Provider Information

NPI Number : 1255768552
Entity Type Code : Organization
Provider Name (Legal Business Name) : HOLZER HOSPITAL FOUNDATION
Provider Business Mailing Address
First Line : 100 JACKSON PIKE
Second Line :
City : GALLIPOLIS
State : OH
Zip : 45631-1560
Country : US
Telephone Number : 740-446-5929
Fax Number : 740-446-5142
Provider Business Practice Location Address
First Line : 2605 JACKSON AVE
Second Line :
City : POINT PLEASANT
State : WV
Zip : 25550-1615
Country : US
Telephone Number : 304-675-6380
Fax Number : 304-675-6882
Authorized Official
Title or Position : CEO
Name : RODNEY STOUT
Credential : MD
Telephone Number : 740-446-5051
Provider Enumeration Date : 10/01/2013
Last Update Date : 04/10/2025

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Directions to “HOLZER HOSPITAL FOUNDATION ” Practice Location

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