# COMPANY CARE CENTER

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** JOEL POMERENE MEMORIAL HOSPITAL
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1962656496
- **Legal business name:** JOEL POMERENE MEMORIAL HOSPITAL
- **Authorized official:** MS. CONNIE POULTON (VICE PRESIDENT OF SUPPORT SERVICES)
- **Authorized official phone:** (330) 674-1584

## Contact information

- **Practice address:** 4900 OAK STREET, BERLIN, OH 44610
- **Practice address phone:** (330) 893-1318
- **Mailing address:** PO BOX 428, BERLIN, OH 44610-0428
- **Mailing address phone:** (330) 893-1318

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP2300X | Primary Care Nurse Practitioner | — | NULL | Yes |
| 363LP2300X | Primary Care Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 11/11/2008
- **Last updated:** 11/11/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 268508858-00 | OHIO BUREAU OF WORKMANS COMPENSATION | OH |