Provider Demographics
NPI:1356367593
Name:ORRVILLE HOSPITAL FOUNDATION
Entity type:Organization
Organization Name:ORRVILLE HOSPITAL FOUNDATION
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:ADAM
Authorized Official - Middle Name:
Authorized Official - Last Name:LUNTZ
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:
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:330-682-3010
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-14
Last Update Date:2025-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CH4000OtherMEDICARE RAILROAD
OH2317200Medicaid
OH2317200Medicaid
OR3600341Medicare ID - Type Unspecified