Provider Demographics
NPI:1225361181
Name:DILEY RIDGE MEDICAL CENTER
Entity Type:Organization
Organization Name:DILEY RIDGE MEDICAL CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF FINANCIAL OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:ANDREW
Authorized Official - Middle Name:
Authorized Official - Last Name:PRIDAY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:614-546-4146
Mailing Address - Street 1:3100 EASTON SQUARE PL STE 300
Mailing Address - Street 2:ATTN: CFO
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43219-6290
Mailing Address - Country:US
Mailing Address - Phone:734-343-3320
Mailing Address - Fax:614-546-4086
Practice Address - Street 1:7911 DILEY RD
Practice Address - Street 2:
Practice Address - City:CANAL WINCHESTER
Practice Address - State:OH
Practice Address - Zip Code:43110-9653
Practice Address - Country:US
Practice Address - Phone:614-838-7911
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-09-10
Last Update Date:2023-11-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH3052771Medicaid
OH360358Medicare Oscar/Certification