Organization
HOLZER MEDICAL CENTER JACKSON
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL R CANADY MD (CEO)
(740) 446-5051
Entity
Organization
Contact information
Practice address
500 BURLINGTON RD, JACKSON, OH 45640-9360
(740) 395-8500
(740) 395-8502
Mailing address
500 BURLINGTON RD, JACKSON, OH 45640-9360
(740) 395-8500
(740) 395-8502
Taxonomy
Speciality
Code
Description
License number
State
282NC0060X
Critical Access Hospital
Primary
—
OH
291U00000X
Clinical Medical Laboratory
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2224195
—
OH
Enumeration date
06/02/2006
Last updated
05/09/2018
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