Organization
COSHOCTON COUNTY MEMORIAL HOSPITAL
Active
Other names
Lifeline
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHAD M. CARPENTER (DIRECTOR, PFS)
(740) 623-4149
Entity
Organization
Contact information
Practice address
1460 ORANGE STREET, COSHOCTON, OH 43812-2229
(740) 623-8416
Mailing address
1460 ORANGE STREET, COSHOCTON, OH 43812-2229
(740) 623-8416
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2181320
—
OH
Enumeration date
11/04/2010
Last updated
11/04/2010
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