Organization
MEMORIAL HOSPITAL OF GENEVA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LORI ANDERSON-PRINTY (CEO)
(330) 656-5911
Entity
Organization
Contact information
Practice address
870 W MAIN ST, GENEVA, OH 44041-1219
(440) 415-0159
(330) 656-5901
Mailing address
5700 DARROW RD, SUITE 106, HUDSON, OH 44236-5026
(330) 656-5911
(330) 656-5901
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000268968
ANTHEM
OH
05
—
2347286
—
OH
Enumeration date
10/06/2006
Last updated
06/11/2008
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