MC Hospital LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

3558 Issued in OH

Legal business name

MC HOSPITAL LLC

Doing business as

Massillon Community Hospital

Practice address

875 8TH St NE
Massillon, OH 44646-8503

Phone

(330) 832-8761

Fax

(330) 837-6871

NPI assigned

Jul 9, 2006

Organization subpart

No

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

Authorized official

Name

Debbie Brewer

Title

Director of Provider Enrollment

Phone

(877) 892-9813

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Massillon Community Hospital Doing business as

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

{
    "created_epoch": "1152403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219363200000",
    "number": "1053344119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14117 COLLECTIONS CENTER DR",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60693",
            "telephone_number": "330-832-8761",
            "fax_number": "330-837-6871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "875 8TH ST NE",
            "city": "MASSILLON",
            "state": "OH",
            "postal_code": "446468503",
            "telephone_number": "330-832-8761",
            "fax_number": "330-837-6871"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MC HOSPITAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-09",
        "last_updated": "2008-08-22",
        "status": "A",
        "authorized_official_last_name": "BREWER",
        "authorized_official_first_name": "DEBBIE",
        "authorized_official_title_or_position": "DIRECTOR OF PROVIDER ENROLLMENT",
        "authorized_official_telephone_number": "877-892-9813"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "OH",
            "license": "3558",
            "primary": true
        },
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "OH",
            "license": "1272",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5589420",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Massillon Community Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Maureen Matula
• Janet Matz
• Joseph May
• Maylow Care Services LLC
• Michael L Mays, CRNA
• MC Hospital LLC
• MC Hospital LLC
• Jane Marie McAllister
• Mercedes McAllister
• Christine L McAvinew, COTA/L

• Clinic/Center in Massillon, OH
• Providers in Massillon, OH by specialty
• Clinic/Center in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.