Provider Demographics
NPI:1972968675
Name:ORRVILLE HOSPITAL FOUNDATION
Entity type:Organization
Organization Name:ORRVILLE HOSPITAL FOUNDATION
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:MATTHEW
Authorized Official - Middle Name:
Authorized Official - Last Name:STEWART
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:330-684-4763
Mailing Address - Street 1:129 WENGER RD N
Mailing Address - Street 2:
Mailing Address - City:DALTON
Mailing Address - State:OH
Mailing Address - Zip Code:44618-9056
Mailing Address - Country:US
Mailing Address - Phone:330-684-5480
Mailing Address - Fax:330-828-0094
Practice Address - Street 1:129 WENGER RD N
Practice Address - Street 2:
Practice Address - City:DALTON
Practice Address - State:OH
Practice Address - Zip Code:44618-9056
Practice Address - Country:US
Practice Address - Phone:330-684-5480
Practice Address - Fax:330-828-0094
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-12-22
Last Update Date:2015-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR1300XAmbulatory Health Care FacilitiesClinic/CenterRural Health