Provider Demographics
NPI:1952370439
Name:MARION GENERAL HOSPITAL INC
Entity Type:Organization
Organization Name:MARION GENERAL HOSPITAL INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT OF FINANCE
Authorized Official - Prefix:
Authorized Official - First Name:JERRY
Authorized Official - Middle Name:
Authorized Official - Last Name:FEYH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:740-383-8704
Mailing Address - Street 1:1000 MCKINLEY PARK DR
Mailing Address - Street 2:ENRICHMENT CENTER
Mailing Address - City:MARION
Mailing Address - State:OH
Mailing Address - Zip Code:43302-6399
Mailing Address - Country:US
Mailing Address - Phone:740-383-8000
Mailing Address - Fax:740-383-7816
Practice Address - Street 1:1000 MCKINLEY PARK DR
Practice Address - Street 2:ENRICHMENT CENTER
Practice Address - City:MARION
Practice Address - State:OH
Practice Address - Zip Code:43302-6399
Practice Address - Country:US
Practice Address - Phone:740-383-8000
Practice Address - Fax:740-383-7816
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-03-16
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH0027273R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes273R00000XHospital UnitsPsychiatric Unit
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH07094Medicaid
OH07094Medicaid