Provider Demographics
NPI:1467285247
Name:WOOSTER COMMUNITY HOSPITAL
Entity type:Organization
Organization Name:WOOSTER COMMUNITY HOSPITAL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SPEECH LANGUAGE PATHOLOGIST
Authorized Official - Prefix:
Authorized Official - First Name:MADELYNNE
Authorized Official - Middle Name:CHRISTINE
Authorized Official - Last Name:CARNELL AYERS
Authorized Official - Suffix:
Authorized Official - Credentials:MA, SLP
Authorized Official - Phone:330-605-7283
Mailing Address - Street 1:3727 FRIENDSVILLE RD
Mailing Address - Street 2:
Mailing Address - City:WOOSTER
Mailing Address - State:OH
Mailing Address - Zip Code:44691-7131
Mailing Address - Country:US
Mailing Address - Phone:330-202-3300
Mailing Address - Fax:
Practice Address - Street 1:3727 FRIENDSVILLE RD
Practice Address - Street 2:
Practice Address - City:WOOSTER
Practice Address - State:OH
Practice Address - Zip Code:44691-7131
Practice Address - Country:US
Practice Address - Phone:330-202-3300
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-08-26
Last Update Date:2024-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes283X00000XHospitalsRehabilitation Hospital