Organization
MASSILLON REGIONAL MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MATTHEW BROCK (MANAGING PARTNER/CEO)
(865) 801-3501
Entity
Organization
Contact information
Practice address
875 8TH ST NE, MASSILLON, OH 44646
(865) 801-3501
Mailing address
875 8TH ST NE, MASSILLON, OH 44646-8503
(865) 801-3501
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
—
—
273R00000X
Psychiatric Hospital Unit
—
—
282N00000X
General Acute Care Hospital
Primary
—
—
291U00000X
Clinical Medical Laboratory
—
—
314000000X
Skilled Nursing Facility
—
—
331L00000X
Blood Bank
—
—
333600000X
Pharmacy
—
—
Other
Enumeration date
08/31/2018
Last updated
08/31/2018
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