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Organization
PAULDING COUNTY HOSPITAL PHYSICIAN SERVICES
Active
Organization
PAULDING COUNTY HOSPITAL PHYSICIAN SERVICES
Active
Parent organization
PAULDING COUNTY HOSPITAL
Other names
PCH Physician Services
Organization subpart
Yes
Provider details
NPI number
Legal business name
PAULDING COUNTY HOSPITAL
Authorized official
JEANISE DIANE DENNING (CREDENTIALING)
(419) 399-1104
Entity
Organization
Contact information
Practice address
1032 W. WAYNE ST, PAULDING, OH 45879-1545
(419) 399-1104
(419) 399-5560
Mailing address
1032 W WAYNE ST, PAULDING, OH 45879-1545
(419) 399-1104
(419) 399-5560
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
—
208600000X
Surgery Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2113126
—
OH
01
—
9299274
PTAN
—
Enumeration date
05/08/2006
Last updated
08/24/2023
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