Organization
PAULDING COUNTY HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RONALD H GOEDDE (CEO)
(419) 399-1103
Entity
Organization
Contact information
Practice address
1035 W WAYNE ST, PAULDING, OH 45879-1544
(419) 399-4080
(419) 399-1147
Mailing address
1035 W WAYNE ST, PAULDING, OH 45879-1544
(419) 399-4080
(419) 399-1147
Taxonomy
Speciality
Code
Description
License number
State
282NC0060X
Critical Access Hospital
Primary
1253
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000157614
ANTHEM
OH
05
—
6767502
—
OH
Enumeration date
03/10/2006
Last updated
01/11/2021
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