Organization
SCCI HOSPITAL MANSFIELD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. VIRGINIA LEE LANFORD RN MBA (VICE PRESIDENT QUALITY & COMPLIANCE)
(713) 807-8686
Entity
Organization
Contact information
Practice address
335 GLESSNER AVE, 5TH FLOOR, MANSFIELD, OH 44903
(419) 526-0777
(419) 526-0929
Mailing address
7333 NORTH FREEWAY, HOUSTON, TX 77076
(713) 807-8686
(713) 807-8604
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
1426
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000322141
BLUE CROSS
OH
05
—
2143504
—
OH
Enumeration date
12/16/2005
Last updated
08/22/2020
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