Provider Demographics
NPI:1962059741
Name:HOCKING VALLEY COMMUNITY HOSPITAL
Entity type:Organization
Organization Name:HOCKING VALLEY COMMUNITY HOSPITAL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:JULIE
Authorized Official - Middle Name:E
Authorized Official - Last Name:GROW
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:740-380-8310
Mailing Address - Street 1:PO BOX 966
Mailing Address - Street 2:
Mailing Address - City:LOGAN
Mailing Address - State:OH
Mailing Address - Zip Code:43138-0966
Mailing Address - Country:US
Mailing Address - Phone:740-380-8000
Mailing Address - Fax:740-385-7458
Practice Address - Street 1:1383 W HUNTER ST
Practice Address - Street 2:
Practice Address - City:LOGAN
Practice Address - State:OH
Practice Address - Zip Code:43138-1013
Practice Address - Country:US
Practice Address - Phone:740-385-0202
Practice Address - Fax:740-380-2734
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-08-26
Last Update Date:2020-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR1300XAmbulatory Health Care FacilitiesClinic/CenterRural Health