Organization
LICKING MEMORIAL HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT A MONTAGNESE (EXECUTIVE VICE PRESIDENT)
(740) 348-4526
Entity
Organization
Contact information
Practice address
1320 W MAIN ST, NEWARK, OH 43055-1822
(740) 348-4513
(740) 348-4517
Mailing address
1320 W MAIN ST, NEWARK, OH 43055-1822
(740) 348-4513
(740) 348-4517
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5172389
—
OH
Enumeration date
12/01/2005
Last updated
08/22/2020
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