Provider Demographics
NPI:1003124454
Name:ELMWOOD OF GREEN SPRINGS, LTD.
Entity Type:Organization
Organization Name:ELMWOOD OF GREEN SPRINGS, LTD.
Other - Org Name:ELMWOOD HEALTHCARE CENTER AT THE SPRINGS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:KATHY
Authorized Official - Middle Name:
Authorized Official - Last Name:HUNT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:419-639-2581
Mailing Address - Street 1:430 N BROADWAY ST
Mailing Address - Street 2:
Mailing Address - City:GREEN SPRINGS
Mailing Address - State:OH
Mailing Address - Zip Code:44836-9601
Mailing Address - Country:US
Mailing Address - Phone:419-639-2581
Mailing Address - Fax:419-639-2519
Practice Address - Street 1:401 N BROADWAY ST
Practice Address - Street 2:
Practice Address - City:GREEN SPRINGS
Practice Address - State:OH
Practice Address - Zip Code:44836-9653
Practice Address - Country:US
Practice Address - Phone:419-639-2621
Practice Address - Fax:419-639-6225
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-09-20
Last Update Date:2010-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282E00000XHospitalsLong Term Care Hospital
Provider Identifiers
StateIdentifier IDID TypeIssuer
362007Medicare Oscar/Certification