Basic Information
| Provider Information | |||||||||
| NPI: | 1255970513 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | ORRVILLE HOSPITAL FOUNDATION | ||||||||
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| Mailing Information | |||||||||
| Address1: | PO BOX 80690 | ||||||||
| Address2: | |||||||||
| City: | CANTON | ||||||||
| State: | OH | ||||||||
| PostalCode: | 447080690 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3304798705 | ||||||||
| FaxNumber: | 3304799330 | ||||||||
| Practice Location | |||||||||
| Address1: | 1020 TRUMP RD NW STE 2/4 | ||||||||
| Address2: | |||||||||
| City: | CARROLLTON | ||||||||
| State: | OH | ||||||||
| PostalCode: | 446158422 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3306270884 | ||||||||
| FaxNumber: | 3306270885 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 01/03/2020 | ||||||||
| LastUpdateDate: | 01/03/2020 | ||||||||
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| AuthorizedOfficialLastName: | LUNTZ | ||||||||
| AuthorizedOfficialFirstName: | ADAM | ||||||||
| AuthorizedOfficialMiddleName: | M | ||||||||
| AuthorizedOfficialTitleorPosition: | CFO | ||||||||
| AuthorizedOfficialTelephone: | 3303633889 | ||||||||
| IsSoleProprietor: | |||||||||
| IsOrganizationSubpart: | N | ||||||||
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| NPICertificationDate: | 01/03/2020 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 261QR1300X | Y | Ambulatory Health Care Facilities | Clinic/Center | Rural Health |
No ID Information.