Organization
H.B. MAGRUDER HOSPITAL
Active
Other names
MAGRUDER HOSPITAL PC EMERGENCY
Organization subpart
No
Provider details
NPI number
Authorized official
NICK MARSICO (PRESIDENT - CEO)
(419) 734-3131
Entity
Organization
Contact information
Practice address
615 FULTON ST, PORT CLINTON, OH 43452-2001
(419) 734-3131
Mailing address
615 FULTON ST, PORT CLINTON, OH 43452-2001
(419) 734-3131
Taxonomy
Speciality
Code
Description
License number
State
146M00000X
Intermediate Emergency Medical Technician
Primary
1252
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
03718
PARAMOUNT ER
OH
01
—
395857
BLACK LUNG ER
OH
05
—
5430662
—
OH
01
—
6460950
AETNA ER
OH
01
—
709136
BUCKEYE ER
OH
01
—
H3613141
HUMANA MEDICARE ER
OH
Enumeration date
11/08/2006
Last updated
08/19/2021
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