FAYETTE COUNTY MEMORIAL HOSPITAL (NPI# 1013220805) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013220805 |
| Entity Type | Organization |
| Organization Name | FAYETTE COUNTY MEMORIAL HOSPITAL |
| Other Organization Name | FAYETTE COUNTY MEMORIAL HOSPITAL MEDICAL AND SURGICAL ASSOCIATES |
| Practice Address |
1510 Columbus Ave Suite 230 Washington Court House OH 43160-1899 |
| Mailing Address |
1450 Columbus Ave Suite B 6-7-8 Washington Court House OH 43160-3701 |
| Practice Telephone | 7403333333 |
| Practice Fax Number | 7403335171 |
| Mailing Telephone | 7403332236 |
| Mailing Fax Number | 7403333881 |
| Enumeration Date | 2010-07-21 |
| Last Update Date | 2020-05-14 |
| Authorized Official Name | DONALD MICHAEL DIENER (CEO) |
| Authorized Official Telephone | 7403332705 |
| Is Organization Subpart | Y |
| Parent Organization Name | FAYETTE COUNTY MEMORIAL HOSPITAL |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
Ambulatory Health Care Facilities | ||
| N | 261QP2300X |
Clinic/Center Specialization: Primary Care |
Ambulatory Health Care Facilities | ||
| Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MEDICARE CCN | 363983 | 01 |
| Other Name | Type Code |
|---|---|
| Fayette County Memorial Hospital Medical and Surgical Associates | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518119791 | Fayette County Memorial Hospital | Ambulance | 1430 Columbus Ave, Washington Court House, OH 43160-1703 | 2008-10-21 |
| 1043380579 | Fayette County Memorial Hospital | Internal Medicine | 1510 Columbus Ave, Suite # 230, Washington Court House, OH 43160-1899 | 2006-11-09 |
| 1063581361 | Fayette County Memorial Hospital | Home Health | 1430 Columbus Ave, Washington Court House, OH 43160-1703 | 2006-11-08 |
| 1508978677 | Fayette County Memorial Hospital | Medicare Defined Swing Bed Unit | 1430 Columbus Ave, Washington Court House, OH 43160-1703 | 2006-08-31 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | FAYETTE COUNTY MEMORIAL HOSPITAL | 1430 Columbus Ave, Washington Court House, OH 43160-1703 |
| Street Address |
1510 COLUMBUS AVE SUITE 230 |
| City | WASHINGTON COURT HOUSE |
| State | OH |
| Zip Code | 43160-1899 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538164595 | Marta Gryniuk | Internal Medicine | 1510 Columbus Ave, Suite 230, Washington Court House, OH 43160-1899 | 2005-06-16 |
| 1821533571 | Jami D Wise | Nurse Practitioner | 1510 Columbus Ave, Suite 230, Washington Court House, OH 43160-1899 | 2017-01-04 |
| 1770958266 | Rhonda Hassman | Nurse Practitioner | 1510 Columbus Ave, Suite 230, Washington Court House, OH 43160-1899 | 2015-12-09 |
| 1992101687 | Cheryl L. Royster | Social Worker | 1510 Columbus Ave, Suite 230, Washington Court House, OH 43160-1899 | 2014-11-07 |
| 1619219672 | Wynneerann Morgan Wilson Barnhart | Physician Assistant | 1510 Columbus Ave, Suite 230, Washington Court House, OH 43160-1899 | 2013-03-18 |
| 1417206293 | Emily Jane Stephens | Nurse Practitioner | 1510 Columbus Ave, Suite 230, Washington Court House, OH 43160-1899 | 2012-09-07 |
| 1558679126 | Nanci K Haecker | Nurse Practitioner | 1510 Columbus Ave, Suite 230, Washington Court House, OH 43160-1899 | 2010-09-17 |
| 1518275353 | Christine Marie Ungar | Nurse Practitioner | 1510 Columbus Ave, Suite 230, Washington Court House, OH 43160-1899 | 2010-09-15 |
| 1659545945 | Emily Jane Johnson | Family Medicine | 1510 Columbus Ave, Suite 230, Washington Court House, OH 43160 | 2008-04-17 |
| 1205008869 | Oral & Maxillofacial Surgery Centers, Inc | Dentist | 1510 Columbus Ave, Suite 120, Washington Court House, OH 43160-1899 | 2008-03-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114437324 | Sheri Hamm | Licensed Practical Nurse | 1771 Old Palmer Rd, Washington Courthouse, OH 43160 | 2017-10-03 |
| 1255717005 | Rhonda Evans | Nurse Practitioner | 1270 Us 22 Nw, Washington Courthouse, OH 43160 | 2015-08-04 |
| 1154744209 | Bethany D Newsome | Speech-Language Pathologist | 942 Old Chillicothe Road Se, Washington Court House, OH 43160 | 2014-01-27 |
| 1043565187 | Janice D. Muslar | Home Health Aide | 620 Peddicord Ave, Washington Ch, OH 43160 | 2012-07-15 |
| 1568749869 | Valerie Jean Beirise | Nurse Practitioner | 1397 Leesburg Avenue, Washington Courthouse, OH 43160 | 2011-11-15 |
| 1447578687 | Kami Sue Campbell | Registered Nurse | 1270 Us Rte 22 Nw, Washington Court House, OH 43160 | 2010-05-12 |
| 1396980033 | Jason Barrett Cherry Sr. | Registered Nurse | 718 High Street, Washington Court House, OH 43160 | 2008-12-10 |
| 1760653638 | Hcf of Washington, Inc. | Skilled Nursing Facility | 555 North Glenn Avenue, Washington Court House, OH 43160 | 2008-03-18 |
| 1376760967 | Coil Assisted Transportation | Non-emergency Medical Transport (VAN) | 892 Johnson Road, Washington Court House, OH 43160 | 2007-04-18 |
| 1730302480 | Christine R Wall Dds and Gregory J Wall Dds Ltd | Dentist | 211 Glenn Avenue, Washington Court House, OH 43160 | 2007-04-11 |
| Find all providers in zip 43160 | ||||
| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
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| 1336632280 | Community Memorial Hospital | Clinic/Center | 104 S. West Street, Edgerton, OH 43517 | 2018-06-14 |
| 1790215614 | Health Professionals of Holmes County, Inc | Clinic/Center | 1261 Wooster Rd Ste 200, Millersburg, OH 44654-1570 | 2017-06-13 |
| 1306260609 | Morrow County Hospital | Clinic/Center | 692 State Route 61, Marengo, OH 43334 | 2014-02-07 |
| 1104265792 | Trinity Hospital Twin City | Clinic/Center | 110 North Walnut Street, Gnadenhutten, OH 44629 | 2013-06-18 |
| 1346594801 | Morgan County Family Practice | Clinic/Center | 4279 N State Route 376 Nw, Mcconnelsville, OH 43756-9145 | 2012-11-06 |
| 1932455359 | Earnest Mullins House of Hope: Shelter for The Homeless and Battered W | Clinic/Center | 164 S 2nd St, Byesville, OH 43723-1304 | 2012-08-03 |
| 1689806887 | Galion Community Hospital | Clinic/Center | 385 N. Seltzer Street, Crestline, OH 44827 | 2009-08-20 |
| 1780818963 | Mercy Health-allen Hospital LLC | Clinic/Center | 840 Patriot Dr, Wellington, OH 44090 | 2009-05-04 |
| Find all providers with the same taxonomy | ||||
| City | WASHINGTON COURT HOUSE |
| Zip Code | 43160 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.