Provider Demographics
NPI:1891718375
Name:ORRVILLE HOSPITAL FOUNDATION
Entity Type:Organization
Organization Name:ORRVILLE HOSPITAL FOUNDATION
Other - Org Name:AULTMAN ORRVILLE HOSPITAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:
Authorized Official - Last Name:KESSEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:330-684-4700
Mailing Address - Street 1:832 S MAIN ST
Mailing Address - Street 2:
Mailing Address - City:ORRVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:44667-2208
Mailing Address - Country:US
Mailing Address - Phone:330-684-4760
Mailing Address - Fax:330-683-2130
Practice Address - Street 1:832 S MAIN ST
Practice Address - Street 2:
Practice Address - City:ORRVILLE
Practice Address - State:OH
Practice Address - Zip Code:44667-2208
Practice Address - Country:US
Practice Address - Phone:330-684-4760
Practice Address - Fax:330-683-2130
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ORRVILLE HOSPITAL FOUNDATION
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-07-25
Last Update Date:2020-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282NC0060XHospitalsGeneral Acute Care HospitalCritical Access
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2370250Medicaid
OH36Z323Medicare Oscar/Certification
OH361323Medicare Oscar/Certification
OH2370250Medicaid