Organization
COMPANY CARE CENTER
Active
Parent organization
JOEL POMERENE MEMORIAL HOSPITAL
Organization subpart
Yes
Provider details
NPI number
Legal business name
JOEL POMERENE MEMORIAL HOSPITAL
Authorized official
MS. CONNIE POULTON (VICE PRESIDENT OF SUPPORT SERVICES)
(330) 674-1584
Entity
Organization
Contact information
Practice address
4900 OAK STREET, BERLIN, OH 44610
(330) 893-1318
Mailing address
PO BOX 428, BERLIN, OH 44610-0428
(330) 893-1318
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
268508858-00
OHIO BUREAU OF WORKMANS COMPENSATION
OH
Enumeration date
11/11/2008
Last updated
11/11/2008
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