Organization
BAY PARK LABS
Active
Parent organization
BAY PARK COMMUNITY HOSPITAL
Organization subpart
Yes
Provider details
NPI number
Legal business name
BAY PARK COMMUNITY HOSPITAL
Authorized official
RONALD WACHSMAN (SR VP)
(419) 824-7580
Entity
Organization
Contact information
Practice address
2801 BAY PARK DR, OREGON, OH 43616-4920
(800) 477-4035
Mailing address
PO BOX 633006, CINCINNATI, OH 45263-3006
(800) 477-4035
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
1178
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000344066
ANTHEM
OH
Enumeration date
09/08/2008
Last updated
02/01/2011
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