NPIMap

Organization Active NPI

Coshocton County Memorial Hospital Association

  • General Acute Care Hospital
  • Coshocton, OH
National Provider Identifier
1053398099
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
1129 Issued in OH
Legal business name
COSHOCTON COUNTY MEMORIAL HOSPITAL ASSOCIATION
Practice address
1460 Orange St
Coshocton, OH 43812-2229
Phone
(740) 622-6411
NPI assigned
Dec 30, 2005
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Gregory M Nowak
Title
Administrator
Phone
(740) 623-4138

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X 1129 OH Primary

Addresses

Primary practice location

1460 Orange St
Coshocton, OH 43812-2229

Mailing address

1460 Orange St
P.O. Box 1330
Coshocton, OH 43812-2229
Phone (740) 622-6411

Other identifiers 5

IdentifierTypeStateIssuer
6460550OtherOHAETNA
000000156950OtherOHANTHEM
1793340MedicaidOH
1793340OtherOHBUREAU CHILDREN MED HAND
5000017OtherOHUNITED HEALTHCARE

National Provider Directory

National Provider Directory
Tax ID family
Prime Healthcare Foundation3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Locations

1460 Orange St
Coshocton, OH 43812
Phone (740) 545-7919

Practitioners & affiliated clinicians

Practitioners 40

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 40

NPI Registry JSON

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

{
    "created_epoch": "1135900800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1053398099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1460 ORANGE ST",
            "address_2": "P.O. BOX 1330",
            "city": "COSHOCTON",
            "state": "OH",
            "postal_code": "438122229",
            "telephone_number": "740-622-6411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1460 ORANGE ST",
            "city": "COSHOCTON",
            "state": "OH",
            "postal_code": "438122229",
            "telephone_number": "740-622-6411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COSHOCTON COUNTY MEMORIAL HOSPITAL ASSOCIATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-30",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "NOWAK",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "740-623-4138",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "OH",
            "license": "1129",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "6460550",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000156950",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1793340",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BUREAU CHILDREN MED HAND",
            "identifier": "1793340",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "5000017",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Coshocton, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.