Provider Demographics
NPI:1053487884
Name:ATRIUM MEDICAL CENTER
Entity Type:Organization
Organization Name:ATRIUM MEDICAL CENTER
Other - Org Name:MIDDLETOWN REGIONAL HOSPITAL - REHAB
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:CHIEF FINANCIAL OFFICER
Authorized Official - Prefix:MR
Authorized Official - First Name:SCOTT
Authorized Official - Middle Name:A
Authorized Official - Last Name:SHELTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:513-424-5103
Mailing Address - Street 1:1 MEDICAL CENTER DR
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN
Mailing Address - State:OH
Mailing Address - Zip Code:45005-2584
Mailing Address - Country:US
Mailing Address - Phone:513-424-2111
Mailing Address - Fax:937-499-7813
Practice Address - Street 1:1 MEDICAL CENTER DR
Practice Address - Street 2:
Practice Address - City:FRANKLIN
Practice Address - State:OH
Practice Address - Zip Code:45005-2584
Practice Address - Country:US
Practice Address - Phone:513-424-2111
Practice Address - Fax:937-499-7813
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ATRIUM MEDICAL CENTER
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-11-24
Last Update Date:2016-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes273Y00000XHospital UnitsRehabilitation Unit
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH5948505Medicaid
OH36T076Medicare ID - Type UnspecifiedMEDICARE PROVIDER NUMBER