Organization
MADISON COUNTY HOSPITAL HOSPICE
Active
Other names
Madison County Community Hospital
Organization subpart
No
Provider details
NPI number
Authorized official
MR. FRED KOLB (CHIEF EXECUTIVE OFFICER)
(740) 845-7000
Entity
Organization
Contact information
Practice address
212 N MAIN ST, LONDON, OH 43140-1115
(740) 845-7000
Mailing address
212 N MAIN ST, LONDON, OH 43140-1115
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
0036HSP
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0820179
—
OH
Enumeration date
05/07/2008
Last updated
07/21/2008
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