Organization
MARY RUTAN HOSPITAL
Active
Parent organization
MARY RUTAN HOSPITAL
Other names
Mary Rutan Indian Lake Clinic
Organization subpart
Yes
Provider details
NPI number
Legal business name
MARY RUTAN HOSPITAL
Authorized official
THOMAS DENBOW (VP OF FINANCE AND DEVELOPMENT)
(937) 651-6688
Entity
Organization
Contact information
Practice address
8200 STATE ROUTE 366 STE 8, RUSSELLS POINT, OH 43348-9670
(937) 292-5063
(937) 292-5073
Mailing address
8200 STATE ROUTE 366 STE 8, RUSSELLS POINT, OH 43348-9670
(937) 292-5063
(937) 292-5073
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Enumeration date
07/16/2024
Last updated
07/16/2024
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