| Orrville Hospital Foundation | |
|
1020 Trump Rd Nw Ste 2/4 Carrollton OH 44615-8422 | |
| (330) 627-0884 | |
| (330) 627-0885 |
| Full Name | Orrville Hospital Foundation |
|---|---|
| Speciality | Clinic/Center |
| Location | 1020 Trump Rd Nw Ste 2/4, Carrollton, Ohio |
| Authorized Official Name and Position | Adam M Luntz (CFO) |
| Authorized Official Contact | 3303633889 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Orrville Hospital Foundation Po Box 80690 Canton OH 44708-0690 Ph: (330) 479-8705 | Orrville Hospital Foundation 1020 Trump Rd Nw Ste 2/4 Carrollton OH 44615-8422 Ph: (330) 627-0884 |
| NPI Number | 1255970513 |
|---|---|
| Provider Enumeration Date | 01/03/2020 |
| Last Update Date | 01/03/2020 |
| Medicare PECOS PAC ID | 7911890546 |
|---|---|
| Medicare Enrollment ID | O20200213001257 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255970513 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Southeast Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 783 Jones Ave Nw, Carrollton, OH 44615 Phone: 330-627-3954 | |
Inman Family Health & Wellness Center Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 125 Canton Rd Nw, Suite A, Carrollton, OH 44615 Phone: 330-627-8163 Fax: 330-627-0197 | |
Orrville Hospital Foundation Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 211 Scio Rd Sw, Carrollton, OH 44615 Phone: 330-627-0884 |