| Organization Name: | HOLZER CLINIC INC. |
| NPI Number: | 1255572681 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | G. PATRICK CONNORS (CHIEF EXECUTIVE OFFICER) |
| Mailing Address: | 90 Jackson Pike Gallipolis |
| State: | OH US |
| Postal Code: | 456311560 |
| Phone Number: | 7404465579 |
| Fax Number: | 7404465982 |
| NPI Enumeration Date: | 03/16/2009 |
| NPI Last Update Date: | 10/26/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QA1903X |
| License Number: | 0614AS |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | OH |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Ambulatory Surgical |
| Taxonomy Definition: | |