Organization
DEFIANCE REGIONAL MEDICAL CENTER
Active
Parent organization
PROMEDICA HEALTH SYSTEM
Organization subpart
Yes
Provider details
NPI number
Legal business name
PROMEDICA HEALTH SYSTEM
Authorized official
RONALD WACHSMAN (SR VP)
(419) 824-7580
Entity
Organization
Contact information
Practice address
1200 RALSTON AVE, DEFIANCE, OH 43512-1396
(800) 477-4035
(419) 882-1352
Mailing address
PO BOX 632927, CINCINNATI, OH 45263-2927
(800) 477-4035
(419) 882-1352
Taxonomy
Speciality
Code
Description
License number
State
282NR1301X
Rural Acute Care Hospital
Primary
1160
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2079503
—
OH
Enumeration date
07/29/2005
Last updated
02/01/2011
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