Organization
COSHOCTON COUNTY MEMORIAL HOSPITAL ASSOCIATION
Active
Other names
Coshocton County Memorial Association Extended Care Facility
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GREGORY M. NOWAK (ADMINISTRATOR)
(740) 623-4138
Entity
Organization
Contact information
Practice address
1460 ORANGE ST, COSHOCTON, OH 43812-2229
(740) 622-6411
Mailing address
1460 ORANGE ST, P.O. BOX 1330, COSHOCTON, OH 43812-2229
(740) 622-6411
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000156951
ANTHEM BLUE CROSS
OH
05
—
0025734
—
OH
01
—
3148757701
BWC
OH
Enumeration date
01/09/2006
Last updated
03/06/2008
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