Provider Demographics
NPI:1639802705
Name:EAST OHIO HOSPITAL LLC
Entity Type:Organization
Organization Name:EAST OHIO HOSPITAL LLC
Other - Org Name:EAST OHIO REGIONAL HOSPITAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:COO
Authorized Official - Prefix:
Authorized Official - First Name:BERNARD
Authorized Official - Middle Name:FREDRICK
Authorized Official - Last Name:ALBERTINI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:740-633-4205
Mailing Address - Street 1:90 N 4TH ST
Mailing Address - Street 2:
Mailing Address - City:MARTINS FERRY
Mailing Address - State:OH
Mailing Address - Zip Code:43935-1648
Mailing Address - Country:US
Mailing Address - Phone:304-210-4300
Mailing Address - Fax:740-633-4475
Practice Address - Street 1:90 N 4TH ST
Practice Address - Street 2:
Practice Address - City:MARTINS FERRY
Practice Address - State:OH
Practice Address - Zip Code:43935-1648
Practice Address - Country:US
Practice Address - Phone:740-633-1100
Practice Address - Fax:740-633-4475
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-07-06
Last Update Date:2022-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes324500000XResidential Treatment FacilitiesSubstance Abuse Rehabilitation Facility