# PHYSICIAN'S CHOICE HOSPITAL - FREMONT, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1215174040
- **Authorized official:** DR. JEROME ANTHONY MCTAGUE MD, JD (MANAGING MEMBER)
- **Authorized official phone:** (419) 461-1057

## Contact information

- **Practice address:** 2390 ENTERPRISE ST, FREMONT, OH 43420-8507
- **Practice address phone:** (567) 201-2911
- **Practice address fax:** (567) 201-2914
- **Mailing address:** 2390 ENTERPRISE ST, FREMONT, OH 43420-8507
- **Mailing address phone:** (567) 201-2911
- **Mailing address fax:** (567) 201-2914

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 282NR1301X | Rural Acute Care Hospital | — | NULL | Yes |

## Other

- **Enumeration date:** 01/15/2009
- **Last updated:** 10/28/2010
