Organization
SMITHVILLE WESTERN INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK SPRENGER (EXECUTIVE VP AND CIO)
(440) 989-5234
Entity
Organization
Contact information
Practice address
4110 E SMITHVILLE WESTERN RD, WOOSTER, OH 44691-7782
(330) 345-9050
(330) 345-9212
Mailing address
4110 E SMITHVILLE WESTERN RD, WOOSTER, OH 44691-7782
(330) 345-9050
(330) 345-9212
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
6141
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000156569
ANTHEM
OH
01
—
000000357106
ANTHEM PT
OH
01
—
000000357109
ANTHEM OT
OH
01
—
000000357110
ANTHEM ST
OH
05
—
2265329
—
OH
Enumeration date
10/26/2005
Last updated
02/04/2009
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