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
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