Organization
ADENA MEDICAL GROUP LLC
Active
Other names
Adena Health System Sole Mbr
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY J GRAHAM (CEO)
(740) 779-8058
Entity
Organization
Contact information
Practice address
272 HOSPITAL RD, CHILLICOTHE, OH 45601-9031
(740) 779-7500
(740) 779-4257
Mailing address
272 HOSPITAL RD STE 6, CHILLICOTHE, OH 45601-9031
(740) 779-4222
(740) 779-4257
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
—
—
207N00000X
Dermatology Physician
—
—
207Q00000X
Family Medicine Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
—
207RI0011X
Interventional Cardiology Physician
—
—
207VX0000X
Obstetrics Physician
—
—
207X00000X
Orthopaedic Surgery Physician
—
—
208000000X
Pediatrics Physician
—
—
2083X0100X
Occupational Medicine Physician
—
—
2084P0800X
Psychiatry Physician
—
—
208600000X
Surgery Physician
—
—
208800000X
Urology Physician
—
—
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
—
—
208M00000X
Hospitalist Physician
—
—
208VP0000X
Pain Medicine Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3023945
—
OH
Enumeration date
12/08/2009
Last updated
11/19/2020
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