Provider Demographics
NPI:1790751253
Name:WOOD COUNTY HOSPITAL ASSN
Entity Type:Organization
Organization Name:WOOD COUNTY HOSPITAL ASSN
Other - Org Name:WOOD COUNTY HOSPITAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:KAROL
Authorized Official - Middle Name:
Authorized Official - Last Name:BORTEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:419-354-8860
Mailing Address - Street 1:950 W WOOSTER ST
Mailing Address - Street 2:
Mailing Address - City:BOWLING GREEN
Mailing Address - State:OH
Mailing Address - Zip Code:43402-2603
Mailing Address - Country:US
Mailing Address - Phone:419-354-8937
Mailing Address - Fax:419-354-8851
Practice Address - Street 1:950 W WOOSTER ST
Practice Address - Street 2:
Practice Address - City:BOWLING GREEN
Practice Address - State:OH
Practice Address - Zip Code:43402-2603
Practice Address - Country:US
Practice Address - Phone:419-354-8937
Practice Address - Fax:419-354-8851
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-02-24
Last Update Date:2017-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH1790751253282N00000X
333600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital
No333600000XSuppliersPharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH9626506Medicaid
2076670OtherPK
MI8010756Medicaid
OH9626506Medicaid
MI8010756Medicaid