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Organization
WAYNE HOSPITAL COMPANY PROFESSIONAL SERVICES LLC
Active
Organization
WAYNE HOSPITAL COMPANY PROFESSIONAL SERVICES LLC
Active
Parent organization
WAYNE HOSPITAL COMPANY
Organization subpart
Yes
Provider details
NPI number
Legal business name
WAYNE HOSPITAL COMPANY
Authorized official
MR. JEFF SUBLER (CEO)
(937) 548-1141
Entity
Organization
Contact information
Practice address
835 SWEITZER ST, GREENVILLE, OH 45331-1007
(937) 548-1141
(937) 547-5789
Mailing address
835 SWEITZER ST, GREENVILLE, OH 45331-1007
(937) 548-1141
(937) 547-5789
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
—
207RC0000X
Cardiovascular Disease Physician
—
—
207RI0011X
Interventional Cardiology Physician
—
—
207V00000X
Obstetrics & Gynecology Physician
—
—
208600000X
Surgery Physician
—
—
208D00000X
General Practice Physician
—
—
208M00000X
Hospitalist Physician
—
—
363LF0000X
Family Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3010888
—
OH
Enumeration date
09/17/2009
Last updated
05/10/2024
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