NPIMap

Organization Active NPI

Madison County Community Hospital

  • Clinical Medical Laboratory
  • London, OH
National Provider Identifier
1013362623
Registry record updated Jan 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
36D0328548 Issued in OH
Legal business name
MADISON COUNTY COMMUNITY HOSPITAL
Practice address
210 N Main St
London, OH 43140-1115
Phone
(740) 845-7000
NPI assigned
May 2, 2016
Organization subpart
Yes
Parent organization
MADISON COUNTY COMMUNITY HOSPITALAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 30, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Michael S Browning
Title
Chief Financial Officer
Phone
(740) 845-7015

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X 36D0328548 OH Primary

Addresses

Primary practice location

210 N Main St
London, OH 43140-1115

Mailing address

210 N Main St
London, OH 43140-1115
Phone (740) 845-7000

Other names 1

  • Madison Health Reference Lab Other name

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
36D0328548Madison County Hospital Dba Madison Health210 N Main Street, London, OH 43140AccreditationJan 2, 2027

National Provider Directory

National Provider Directory
Tax ID family
Madison County Hospital4 organizations share this tax ID, including this one
Part of
Madison County Hospital

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1462147200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1580342400000",
    "number": "1013362623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 N MAIN ST",
            "city": "LONDON",
            "state": "OH",
            "postal_code": "431401115",
            "telephone_number": "740-845-7000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 N MAIN ST",
            "city": "LONDON",
            "state": "OH",
            "postal_code": "431401115",
            "telephone_number": "740-845-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MADISON COUNTY COMMUNITY HOSPITAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MADISON COUNTY COMMUNITY HOSPITAL",
        "enumeration_date": "2016-05-02",
        "last_updated": "2020-01-30",
        "certification_date": "2020-01-30",
        "status": "A",
        "authorized_official_last_name": "BROWNING",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "740-845-7015",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "OH",
            "license": "36D0328548",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Madison Health Reference Lab",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in London, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.