Organization
BUCYRUS COMMUNITY HOSPITAL LLC
Active
Other names
Bucyrus Community Hospital
Organization subpart
No
Provider details
NPI number
Authorized official
MR. D. ERIC DRAIME (CHIEF FINANCIAL OFFICER)
(419) 468-0501
Entity
Organization
Contact information
Practice address
629 N SANDUSKY AVE, BUCYRUS, OH 44820
(419) 562-4677
Mailing address
629 N SANDUSKY AVE, BUCYRUS, OH 44820
Taxonomy
Speciality
Code
Description
License number
State
282NC0060X
Critical Access Hospital
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000156740
ANTHEM
—
05
—
1112843
—
OH
01
—
344468311030
MEDICAL MUTUAL OF OHIO
—
Enumeration date
10/11/2006
Last updated
04/24/2013
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