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FAYETTE COUNTY MEMORIAL HOSPITAL NPI 1043380579


NPI Information

NPI: 1043380579
Provider Name: FAYETTE COUNTY MEMORIAL HOSPITAL

Doing Business As: FAYETTE COUNTY MEMORIAL HOSPITAL MEDICAL AND SURGICAL ASSOCIATES

Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
1510 COLUMBUS AVE
SUITE # 230
WASHINGTON COURT HOUSE, OH
ZIP 43160
Phone: (740) 333-3333
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FAYETTE COUNTY MEMORIAL HOSPITAL is a family medicine in Washington Court House, OH. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. FAYETTE COUNTY MEMORIAL HOSPITAL NPI is 1043380579. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Fayette County Memorial Hospital Medical And Surgical Associates.

The provider's business location address is:

1510 COLUMBUS AVE
SUITE # 230
WASHINGTON COURT HOUSE, OH
ZIP 43160-899
Phone: (740) 333-3333
Fax: (740) 333-5171

The provider's authorized official is Donald Michael Diener .
The authorized official title is Ceo and has the following contact phone number (740) 333-2705.

The enumeration date for this NPI number is 11/9/2006 and was last updated on 5/14/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207R00000XInternal Medicine1168OHIONo
2208600000XSurgery1168OHIONo
3207Q00000XFamily Medicine1168OHIOYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
12970665MEDICAIDOHIO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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