# HEALTHRIDGE MEDICAL CENTER INC

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

## Provider details

- **NPI number:** 1497717664
- **Authorized official:** MS. VICKI LYNN MILLER (PRACTICE ADMINISTRATOR)
- **Authorized official phone:** (330) 750-1333

## Contact information

- **Practice address:** 315 STRUTHERS LIBERTY RD, CAMPBELL, OH 44405-1949
- **Practice address phone:** (330) 750-1333
- **Practice address fax:** (330) 750-0203
- **Mailing address:** 315 STRUTHERS LIBERTY RD, CAMPBELL, OH 44405-1949
- **Mailing address phone:** (330) 750-1333
- **Mailing address fax:** (330) 750-0203

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 207R00000X | Internal Medicine Physician | — | NULL | — |
| 207R00000X | Internal Medicine Physician | — | — | — |
| 208000000X | Pediatrics Physician | — | NULL | — |
| 208000000X | Pediatrics Physician | — | — | — |
| 363A00000X | Physician Assistant | — | NULL | — |
| 363A00000X | Physician Assistant | — | — | — |
| 363LP0200X | Pediatric Nurse Practitioner | — | NULL | — |
| 363LP0200X | Pediatric Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 04/04/2006
- **Last updated:** 12/09/2009