Organization
MARY RUTAN HOSPITAL
Active
Parent organization
MARY RUTAN HOSPITAL
Other names
General Surgery
Organization subpart
Yes
Provider details
NPI number
Legal business name
MARY RUTAN HOSPITAL
Authorized official
RONALD CARMIN (VP, FISCAL SERVICES)
(937) 592-4015
Entity
Organization
Contact information
Practice address
114 DOWELL AVE, BELLEFONTAINE, OH 43311-2305
(937) 592-1099
Mailing address
114 DOWELL AVE, BELLEFONTAINE, OH 43311-2305
(937) 592-1099
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7607503
—
OH
Enumeration date
02/01/2007
Last updated
12/05/2007
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