Organization
H.B. MAGRUDER MEMORIAL HOSPITAL
Active
Other names
Magruder Hospital
Organization subpart
No
Provider details
NPI number
Authorized official
NICK MARSICO (PRESIDENT/CEO)
(419) 734-3131
Entity
Organization
Contact information
Practice address
615 FULTON ST, PORT CLINTON, OH 43452-2001
(419) 734-3131
Mailing address
615 FULTON ST, PORT CLINTON, OH 43452-2001
(419) 734-3131
Taxonomy
Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
—
—
282NC0060X
Critical Access Hospital
Primary
1252
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000064558
UNICARE
OH
01
—
0062084
AETNA
OH
01
—
05029
PARAMOUNT INSURANCE
OH
01
—
107536
KAISER
OH
01
—
344442792
TRICARE
OH
01
—
361314
HUMANA MEDICARE HMO
OH
01
—
395857
BLACK LUNG
OH
05
—
5430662
—
OH
01
—
600827
BUCKEYE COMMUNITY
OH
Enumeration date
01/31/2006
Last updated
12/11/2024
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