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Organization
BUCYRUS COMMUNITY HOSPITAL LLC
Active
Organization
BUCYRUS COMMUNITY HOSPITAL LLC
Active
Other names
Bucyrus Community Hospital
Organization subpart
No
Provider details
NPI number
Authorized official
MR. D. ERIC DRAIME (CHIEF FINANCIAL OFFICER)
(419) 468-0501
Entity
Organization
Contact information
Practice address
629 N SANDUSKY AVE, BUCYRUS, OH 44820
(419) 562-4677
Mailing address
629 N SANDUSKY AVE, BUCYRUS, OH 44820
Taxonomy
Speciality
Code
Description
License number
State
282NC0060X
Critical Access Hospital
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000156740
ANTHEM
—
05
—
1112843
—
OH
01
—
344468311030
MEDICAL MUTUAL OF OHIO
—
Enumeration date
10/11/2006
Last updated
04/24/2013
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