Organization
DHSC LLC
Active
Parent organization
DHSC LLC
Other names
Affinity Medical Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
DHSC LLC
Authorized official
TARA RICHARDSON (AUTHORIZED OFFICIAL)
(615) 221-3672
Entity
Organization
Contact information
Practice address
400 AUSTIN AVE NW, MASSILLON, OH 44646-3554
(330) 837-7200
(330) 830-1616
Mailing address
PO BOX 10390, FORT WAYNE, IN 46852-0390
(330) 837-7200
(330) 830-1616
Taxonomy
Speciality
Code
Description
License number
State
273R00000X
Psychiatric Hospital Unit
Primary
PPH04-2460
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0353853
—
OH
Enumeration date
05/18/2006
Last updated
04/25/2016
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