1942267760 NPI number — VAN WERT COUNTY HOSPITAL ASSOCIATION

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1942267760 NPI number — VAN WERT COUNTY HOSPITAL ASSOCIATION

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
VAN WERT COUNTY HOSPITAL ASSOCIATION
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
6
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1942267760
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
03/17/2022
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
VAN WERT HEALTH
Provider Second Line Business Mailing Address:
1250 S WASHINGTON ST
Provider Business Mailing Address City Name:
VAN WERT
Provider Business Mailing Address State Name:
OH
Provider Business Mailing Address Postal Code:
45891-2551
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
419-238-2390
Provider Business Mailing Address Fax Number:
419-238-0692

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
VAN WERT HEALTH
Provider Second Line Business Practice Location Address:
1250 S WASHINGTON ST
Provider Business Practice Location Address City Name:
VAN WERT
Provider Business Practice Location Address State Name:
OH
Provider Business Practice Location Address Postal Code:
45891-2551
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
419-238-2390
Provider Business Practice Location Address Fax Number:
419-238-0692
Provider Enumeration Date:
04/26/2006

Additional Information

Authorized Official

Authorized Official Last Name:
SILALAHI
Authorized Official First Name:
EDGAR
Authorized Official Middle Name:
Authorized Official Title or Position:
CHIEF FINANCIAL OFFICER
Authorized Official Telephone Number:
419-238-8870

Provider Taxonomy Codes

  • Taxonomy code: 282N00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: ========= . This is a "WORKMEN COMPENSATION PHY." identifier , issued by the state of ( OH ) . This identifiers is of the category "OTHER".
  • Identifier: 3600711 . This is a "MEDICARE CARRIER PROVIDER" identifier , issued by the state of ( OH ) . This identifiers is of the category "OTHER".
  • Identifier: ========= . This is a "WORKMENS COMPENSATION HOS" identifier , issued by the state of ( OH ) . This identifiers is of the category "OTHER".
  • Identifier: CK1277 . This is a "MEDICARE RAILROAD" identifier , issued by the state of ( OH ) . This identifiers is of the category "OTHER".
  • Identifier: ========= . This is a "MEDICAL MUTUAL PHYSICIAN" identifier , issued by the state of ( OH ) . This identifiers is of the category "OTHER".
  • Identifier: 000000184281 . This is a "ANTHEM HOSPITAL PROVIDER" identifier , issued by the state of ( OH ) . This identifiers is of the category "OTHER".
  • Identifier: 9027663 , issued by the state of ( OH ) . This identifiers is of the category "MEDICAID".
  • Identifier: ========= . This is a "MEDICAL MUTUAL HOSPITAL" identifier , issued by the state of ( OH ) . This identifiers is of the category "OTHER".
  • Identifier: 000000030033 . This is a "ANTHEM PHYSICIAN BILLING" identifier , issued by the state of ( OH ) . This identifiers is of the category "OTHER".




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