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NPI Code Detail

MEDICARE: CITY OF WOOSTER

MEDICARE: CITY OF WOOSTER
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
1282N00000XGeneral Acute Care Hospital

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1000000113175OTHEROHATNEHM BLUE CROSS
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1437156247
Entity Type Code : Organization
Provider Name (Legal Business Name) : CITY OF WOOSTER
Provider Business Mailing Address
First Line : 1761 BEALL AVE
Second Line :
City : WOOSTER
State : OH
Zip : 44691-2342
Country : US
Telephone Number : 330-263-8100
Fax Number : 330-263-8525
Provider Business Practice Location Address
First Line : 1761 BEALL AVE
Second Line :
City : WOOSTER
State : OH
Zip : 44691-2342
Country : US
Telephone Number : 330-263-8100
Fax Number : 330-263-8525
Authorized Official
Title or Position : DIRECTOR OF FISCAL SERVICES CFO
Name : MR. SCOTT A BOYES
Credential :
Telephone Number : 330-263-8148
Provider Enumeration Date : 07/07/2005
Last Update Date : 07/31/2007

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Directions to “CITY OF WOOSTER ” Practice Location

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