ADENA FAYETTE MEDICAL CENTER NPI 1508978677

NPI Information

NPI: 1508978677
Provider Name: ADENA FAYETTE MEDICAL CENTER
Classification: General Acute Care Hospital - 282NC0060X
Entity Type: Organization

Specialization: Critical Access

CLIA Number: 36D0328615

Address:
1430 COLUMBUS AVE
WASHINGTON COURT HOUSE, OH
ZIP 43160
Phone: (740) 333-2705
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ADENA FAYETTE MEDICAL CENTER is a critical access general acute care hospital in Washington Court House, OH. ADENA FAYETTE MEDICAL CENTER NPI is 1508978677. The provider is registered as an organization entity type.

The provider's business location address is:

1430 COLUMBUS AVE
WASHINGTON COURT HOUSE, OH
ZIP 43160-703
Phone: (740) 333-2705
Fax: (740) 333-2998

The provider's authorized official is Lisa M Carlson .
The authorized official title is Cfo and has the following contact phone number (740) 779-7582.

The CLIA number assigned to this NPI record is 36D0328615 - hospital with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 8/31/2006 and was last updated on 6/2/2021.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	275N00000X	Medicare Defined Swing Bed Unit		1168	OHIO	No
2	282NC0060X	General Acute Care Hospital	Critical Access	1168	OHIO	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	000000244918	OTHER		ANTHEM INSURANCE
2	2675403	MEDICAID	OHIO
3	0653982	OTHER		CIGNA INSURANCE
4	0066355	OTHER		AETNA INSURANCE
5	316008062	OTHER		ALL OTHER PAYERS
6	34	OTHER		CENTRAL BENEFITS INSURANC
7	5020091	OTHER		UNITED HEALTHCARE INSURAN
8	316008062044	OTHER		MEDICAL MUTUAL INSURANCE

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

NPI Synchronization or Removal

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