Provider Demographics
NPI:1235135450
Name:BARNESVILLE HOSPITAL ASSOCIATION, INC.
Entity Type:Organization
Organization Name:BARNESVILLE HOSPITAL ASSOCIATION, INC.
Other - Org Name:BARNESVILLE HOSPITAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:MR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:A
Authorized Official - Last Name:PHILLIPS
Authorized Official - Suffix:
Authorized Official - Credentials:CEO
Authorized Official - Phone:740-425-5101
Mailing Address - Street 1:639 W. MAIN ST.
Mailing Address - Street 2:P.O. BOX 309
Mailing Address - City:BARNESVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:43713-0309
Mailing Address - Country:US
Mailing Address - Phone:740-425-3941
Mailing Address - Fax:740-425-9213
Practice Address - Street 1:639 W. MAIN ST.
Practice Address - Street 2:
Practice Address - City:BARNESVILLE
Practice Address - State:OH
Practice Address - Zip Code:43713-0309
Practice Address - Country:US
Practice Address - Phone:740-425-3941
Practice Address - Fax:740-425-9213
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-06-22
Last Update Date:2023-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH361321282NC0060X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282NC0060XHospitalsGeneral Acute Care HospitalCritical Access
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0461807Medicaid
OH361321Medicare ID - Type Unspecified
OH0461807Medicaid
OH36Z321Medicare Oscar/Certification