MEDICARE: THE CITY HOSPITAL ASSOCIATION

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
1	261QR1300X	Rural Health Clinic/Center

General Provider Information

NPI Number	:	1518844240
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	THE CITY HOSPITAL ASSOCIATION

Provider Business Mailing Address
First Line	:	79 W MAIN ST
Second Line	:
City	:	EAST PALESTINE
State	:	OH
Zip	:	44413-1851
Country	:	US
Telephone Number	:	330-362-4920
Fax Number	:	330-362-4925

Provider Business Practice Location Address
First Line	:	79 W MAIN ST
Second Line	:
City	:	EAST PALESTINE
State	:	OH
Zip	:	44413-1851
Country	:	US
Telephone Number	:	330-362-4920
Fax Number	:	330-362-4925

Authorized Official
Title or Position	:	MANAGING ASSOCIATE GENERAL COUNSEL
Name	:	CHRISTOPHER DOAN
Credential	:
Telephone Number	:	310-259-4706

Provider Enumeration Date	:	08/15/2025
Last Update Date	:	08/15/2025

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Directions to “THE CITY HOSPITAL ASSOCIATION ” Practice Location

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