Organization
COSHOCTON COUNTY MEMORIAL HOSPITAL ASSOCIATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GREGORY M NOWAK (ADMINISTRATOR)
(740) 623-4138
Entity
Organization
Contact information
Practice address
1460 ORANGE ST, COSHOCTON, OH 43812-2229
(740) 622-6411
Mailing address
1460 ORANGE ST, P.O. BOX 1330, COSHOCTON, OH 43812-2229
(740) 622-6411
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
1129
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000156950
ANTHEM
OH
01
—
1793340
BUREAU CHILDREN MED HAND
OH
05
—
1793340
—
OH
01
—
5000017
UNITED HEALTHCARE
OH
01
—
6460550
AETNA
OH
Enumeration date
12/30/2005
Last updated
08/22/2020
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