Organization Name: | ST CHARLES HOSPITAL OF OREGON OHIO |
NPI Number: | 1093750390 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | SAMANTHA PLATZKE (CFO) |
Mailing Address: | 513 Superior St Rossford |
State: | OH US |
Postal Code: | 434601246 |
Phone Number: | 4196665202 |
Fax Number: | |
NPI Enumeration Date: | 06/19/2006 |
NPI Last Update Date: | 12/06/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LX0001X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Obstetrics & Gynecology |
Taxonomy Definition: |