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NPI Code Detail

MEDICARE: GLENBEIGH

MEDICARE: GLENBEIGH
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
1284300000XSpecial Hospital6713OH

General Provider Information

NPI Number : 1790761922
Entity Type Code : Organization
Provider Name (Legal Business Name) : GLENBEIGH
Provider Business Mailing Address
First Line : 2863 STATE ROUTE 45 N
Second Line : P.O. BOX 298
City : ROCK CREEK
State : OH
Zip : 44084-9352
Country : US
Telephone Number : 440-563-3400
Fax Number : 440-563-9363
Provider Business Practice Location Address
First Line : 2863 STATE ROUTE 45 N
Second Line : P O BO 298
City : ROCK CREEK
State : OH
Zip : 44084-9352
Country : US
Telephone Number : 440-563-3400
Fax Number : 440-563-9363
Authorized Official
Title or Position : DIRECTOR PFS
Name : EMILY WOOD
Credential :
Telephone Number : 440-997-6622
Provider Enumeration Date : 12/20/2005
Last Update Date : 09/02/2025

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Directions to “GLENBEIGH ” Practice Location

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