Organization
MARY RUTAN HOSPITAL
Active
Parent organization
MARY RUTAN HOSPITAL
Other names
Mad River Internal Medicine
Organization subpart
Yes
Provider details
NPI number
Legal business name
MARY RUTAN HOSPITAL
Authorized official
RON CARMIN (VP/FINANCE)
(937) 592-4015
Entity
Organization
Contact information
Practice address
2231 TIMBER TRL, BELLEFONTAINE, OH 43311-9036
(937) 599-3115
(937) 592-5285
Mailing address
2231 TIMBER TRL, BELLEFONTAINE, OH 43311-9036
(937) 599-3115
(937) 592-5285
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7607503
—
OH
Enumeration date
03/23/2006
Last updated
08/24/2010
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