Provider Demographics
NPI:1043374846
Name:THE WADSWORTH-RITTMAN AREA HOSPITAL ASSOCIATION
Entity Type:Organization
Organization Name:THE WADSWORTH-RITTMAN AREA HOSPITAL ASSOCIATION
Other - Org Name:WADSWORTH-RITTMAN REHAB
Other - Org Type:Other Name
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:MR
Authorized Official - First Name:CHARLES
Authorized Official - Middle Name:R
Authorized Official - Last Name:ALDERSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:330-331-1042
Mailing Address - Street 1:195 WADSWORTH RD
Mailing Address - Street 2:
Mailing Address - City:WADSWORTH
Mailing Address - State:OH
Mailing Address - Zip Code:44281-9504
Mailing Address - Country:US
Mailing Address - Phone:330-331-1000
Mailing Address - Fax:330-331-1942
Practice Address - Street 1:195 WADSWORTH RD
Practice Address - Street 2:
Practice Address - City:WADSWORTH
Practice Address - State:OH
Practice Address - Zip Code:44281-9504
Practice Address - Country:US
Practice Address - Phone:330-331-1000
Practice Address - Fax:330-331-1942
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:THE WADSWORTH RITTMAN AREA HOSPITAL ASSOCIATION
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-12-19
Last Update Date:2011-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH1235273Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes273Y00000XHospital UnitsRehabilitation Unit
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH9112347Medicaid
OH9112347Medicaid