Organization
MC HOSPITAL LLC
Active
Organization
MC HOSPITAL LLC
Active
Other names
Massillon Community Hospital
Organization subpart
No
Provider details
NPI number
Authorized official
DEBBIE BREWER (DIRECTOR OF PROVIDER ENROLLMENT)
(877) 892-9813
Entity
Organization
Contact information
Practice address
875 8TH ST NE, MASSILLON, OH 44646-8503
(330) 832-8761
(330) 837-6871
Mailing address
14117 COLLECTIONS CENTER DR, CHICAGO, IL 60693
(330) 832-8761
(330) 837-6871
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
3558
OH
282N00000X
General Acute Care Hospital
1272
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5589420
—
OH
Enumeration date
07/09/2006
Last updated
08/22/2008
Update your record
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