Provider Demographics
NPI:1689840548
Name:ADAMS COUNTY HOSPITAL
Entity Type:Organization
Organization Name:ADAMS COUNTY HOSPITAL
Other - Org Name:ADAMS COUNTY REGIONAL MEDICAL CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:MR
Authorized Official - First Name:PETE
Authorized Official - Middle Name:R
Authorized Official - Last Name:DAGENBACH
Authorized Official - Suffix:
Authorized Official - Credentials:CFO
Authorized Official - Phone:937-386-3400
Mailing Address - Street 1:230 MEDICAL CENTER DR
Mailing Address - Street 2:
Mailing Address - City:SEAMAN
Mailing Address - State:OH
Mailing Address - Zip Code:45679-8002
Mailing Address - Country:US
Mailing Address - Phone:937-386-3400
Mailing Address - Fax:937-386-3019
Practice Address - Street 1:230 MEDICAL CENTER DR
Practice Address - Street 2:
Practice Address - City:SEAMAN
Practice Address - State:OH
Practice Address - Zip Code:45679-8002
Practice Address - Country:US
Practice Address - Phone:937-386-3400
Practice Address - Fax:937-386-3019
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-01
Last Update Date:2016-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes275N00000XHospital UnitsMedicare Defined Swing Bed Unit
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0030602Medicaid
OH0030602Medicaid