Organization
DEFIANCE HOSPITAL, INC.
Active
Parent organization
PROMEDICA HEALTH SYSTEM
Other names
DEFIANCE REHABILITATION SERVICES
Organization subpart
Yes
Provider details
NPI number
Legal business name
PROMEDICA HEALTH SYSTEM
Authorized official
RONALD WACHSMAN (SR. VP)
(419) 824-7576
Entity
Organization
Contact information
Practice address
851 S CLINTON ST, ATTEN: CBO, DEFIANCE, OH 43512-2770
(419) 824-7576
(419) 824-3460
Mailing address
851 S CLINTON ST, ATTEN; CBO, DEFIANCE, OH 43512-2770
(419) 824-7576
(419) 824-3460
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
1160
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3065981
—
OH
Enumeration date
01/29/2009
Last updated
06/22/2012
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