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Organization
DHSC LLC
Active
Organization
DHSC LLC
Active
Other names
Affinity Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
TARA P RICHARDSON (AUTHORIZED OFFICIAL)
(615) 221-3672
Entity
Organization
Contact information
Practice address
875 8TH ST NE, MASSILLON, OH 44646-8503
(330) 837-7200
(330) 830-1616
Mailing address
14114 COLLECTION CENTER DR, CHICAGO, IL 60693-0141
(330) 837-7200
(330) 830-1616
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
—
—
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
—
—
282N00000X
General Acute Care Hospital
Primary
1016
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0353853
—
OH
Enumeration date
05/18/2006
Last updated
04/21/2016
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