1942267760 NPI number — VAN WERT COUNTY HOSPITAL ASSOCIATION

Table of content: (NPI 1942267760)

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:
VAN WERT HEALTH
Provider Other Organization Name Type Code:
3
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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