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NPI Code Detail

MEDICARE: MARY RUTAN HOSPITAL

MEDICARE: MARY RUTAN HOSPITAL
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
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1548254931
Entity Type Code : Organization
Provider Name (Legal Business Name) : MARY RUTAN HOSPITAL
Provider Business Mailing Address
First Line : 205 PALMER AVENUE
Second Line :
City : BELLEFONTAINE
State : OH
Zip : 43311-2298
Country : US
Telephone Number : 937-592-4015
Fax Number :
Provider Business Practice Location Address
First Line : 205 PALMER AVENUE
Second Line :
City : BELLEFONTAINE
State : OH
Zip : 43311-2298
Country : US
Telephone Number : 937-592-4015
Fax Number :
Authorized Official
Title or Position : PRESIDENT/CEO
Name : CHAD ROSS
Credential :
Telephone Number : 937-592-4015
Provider Enumeration Date : 08/31/2005
Last Update Date : 04/09/2024

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1477931533 — MEGHAN B. KROMER APRN-CNP
Practice Location Address:
205 E PALMER RD
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Practice Fax:
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1295239358 — CHRISTINA MARIE MYERS PHARMD, RPH. BCPS
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Practice Fax:
1780226878 — KAITLYN ELIZABETH SAUNDERS RPH.
Practice Location Address:
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1245976877 — MRS. LESLIE LEE JOSEPH APRN, FNP-C
Practice Location Address:
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1174269120 — XAVIER ANDRU JA'CEI CLOUD
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Directions to “MARY RUTAN HOSPITAL ” Practice Location

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