Organization
SOUTHWEST HEALTHCARE OF BROWN COUNTY OHIO, LLC
Active
Parent organization
SOUTHWEST HEALTHCARE OF BROWN COUNTY OHIO, LLC
Other names
Southwest Regional Medical Center - Bethel Rural Health Clinic
Organization subpart
Yes
Provider details
NPI number
Legal business name
SOUTHWEST HEALTHCARE OF BROWN COUNTY OHIO, LLC
Authorized official
KRISHNA P SURAPANENI (CEO)
(937) 378-7800
Entity
Organization
Contact information
Practice address
210 N UNION ST, BETHEL, OH 45106-1124
(513) 734-9050
(513) 734-9051
Mailing address
210 N UNION ST, BETHEL, OH 45106-1124
(513) 734-9050
(513) 734-9051
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
1115
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1902940042
NPI
OH
Enumeration date
09/09/2009
Last updated
03/18/2014
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