Organization
MARY RUTAN HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHAD ROSS (PRESIDENT/CEO)
(937) 592-4015
Entity
Organization
Contact information
Practice address
205 PALMER AVENUE, BELLEFONTAINE, OH 43311-2298
(937) 592-4015
Mailing address
205 PALMER AVENUE, BELLEFONTAINE, OH 43311-2298
(937) 592-4015
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7607503
—
OH
Enumeration date
08/31/2005
Last updated
04/09/2024
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