Organization Name: | FAYETTE COUNTY MEMORIAL HOSPITAL |
NPI Number: | 1013220805 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MICHAEL B. SENTER (VICE PRESIDENT) |
Mailing Address: | 1510 Columbus Ave Suite 230 Washington Court House |
State: | OH US |
Postal Code: | 431601899 |
Phone Number: | 7403333333 |
Fax Number: | 7406361196 |
NPI Enumeration Date: | 07/21/2010 |
NPI Last Update Date: | 07/17/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QP2300X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Primary Care |
Taxonomy Definition: |