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Organization

LICKING MEMORIAL HOSPITAL

Active
Parent organization
LICKING MEMORIAL HOSPITAL
Organization subpart
Yes

Provider details

NPI number
Legal business name
LICKING MEMORIAL HOSPITAL
Authorized official
MS. CYNTHIA L WEBSTER (VICE PRESIDENT, FINANCIAL SERVICES)
(740) 348-4518
Entity
Organization

Contact information

Practice address
1320 W MAIN ST, NEWARK, OH 43055-1822
(740) 348-4000
(740) 348-7711
Mailing address
1320 W MAIN ST, NEWARK, OH 43055-1822
(740) 348-4000
(740) 348-7711

Taxonomy

Speciality
Code
Description
License number
State
273Y00000X
Rehabilitation Hospital Unit
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
5172389
OH
Enumeration date
10/02/2012
Last updated
10/02/2012
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