Provider Demographics
NPI:1659668374
Name:BROWN COUNTY GENERAL HOSPITAL HOME CARE UNIT
Entity Type:Organization
Organization Name:BROWN COUNTY GENERAL HOSPITAL HOME CARE UNIT
Other - Org Name:BROWN COUNTY HOME CARE
Other - Org Type:Other Name
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:CHERYL
Authorized Official - Middle Name:A
Authorized Official - Last Name:PHILLIPS
Authorized Official - Suffix:
Authorized Official - Credentials:R N
Authorized Official - Phone:937-378-7153
Mailing Address - Street 1:474 HOME ST STE C
Mailing Address - Street 2:
Mailing Address - City:GEORGETOWN
Mailing Address - State:OH
Mailing Address - Zip Code:45121-1496
Mailing Address - Country:US
Mailing Address - Phone:937-378-7150
Mailing Address - Fax:937-378-7152
Practice Address - Street 1:474 HOME ST STE C
Practice Address - Street 2:
Practice Address - City:GEORGETOWN
Practice Address - State:OH
Practice Address - Zip Code:45121-1496
Practice Address - Country:US
Practice Address - Phone:937-378-7150
Practice Address - Fax:937-378-7152
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:BROWN COUNTY REGIONAL HEALTHCARE
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2011-07-01
Last Update Date:2011-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH1115282N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0728654Medicaid