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Organization
MADISON COUNTY COMMUNITY HOSPITAL
Active
Organization
MADISON COUNTY COMMUNITY HOSPITAL
Active
Other names
Madison County Hospital Home Health
Organization subpart
No
Provider details
NPI number
Authorized official
FRED KOLB (CEO)
(740) 845-7000
Entity
Organization
Contact information
Practice address
212 N MAIN ST, LONDON, OH 43140-1115
(740) 845-7550
Mailing address
212 N MAIN ST, LONDON, OH 43140-1115
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0036HSP
STATE LICENSE
OH
05
—
0248431
—
OH
Enumeration date
02/06/2007
Last updated
07/21/2008
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