Organization
SCCI HOSPITAL MANSFIELD, INC
Active
Other names
Kindred Hospital Central Ohio
Organization subpart
No
Provider details
NPI number
Authorized official
MARILYN A. WEAVER (ASSISTANT SECRETARY)
(502) 596-7563
Entity
Organization
Contact information
Practice address
335 GLESSNER AVE, MANSFIELD, OH 44903-2269
(419) 526-0777
Mailing address
680 S 4TH ST, LOUISVILLE, KY 40202-2407
Taxonomy
Speciality
Code
Description
License number
State
282E00000X
Long Term Care Hospital
Primary
1426
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000322141
BLUE CROSS
OH
05
—
2143504
—
OH
Enumeration date
11/01/2006
Last updated
10/18/2017
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