Active NPI
Medical Center of Newark, L.L.C.
- General Acute Care Hospital
- Newark, OH
National Provider Identifier
1164627733
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Acute Care Hospital
- Legal business name
- MEDICAL CENTER OF NEWARK, L.L.C.
- Practice address
- 2000 Tamarack Rd
Newark, OH 43055-1183 - Phone
- (740) 522-7800
- Fax
- (740) 788-6002
- NPI assigned
- Jun 15, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dave Sheppard
- Title
- Cfo
- Phone
- (740) 522-7821
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Acute Care Hospital | 282N00000X | Primary |
Addresses
Primary practice location
2000 Tamarack Rd
Newark, OH 43055-1183
Mailing address
2000 Tamarack Rd
Newark, OH 43055-1183
Phone (740) 522-7800
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2815565 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
Hospital certification: CCN 360347
Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.
- Legal name
- MEDICAL CENTER OF NEWARK LLC
- Certification status
- Terminated Voluntary: merger or closure, Dec 29, 2012
- Provider type (POS)
- Hospital – Short-term
- Participating since
- Dec 5, 2007
- Last certification
- Dec 5, 2007
- Beds
- 33
- Ownership / control type
- Private (not for profit)
- Facility address
- 2000 Tamarack Road
Newark, OH 43055
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181865600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1291334400000",
"number": "1164627733",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2000 TAMARACK RD",
"city": "NEWARK",
"state": "OH",
"postal_code": "430551183",
"telephone_number": "740-522-7800",
"fax_number": "740-788-6002"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2000 TAMARACK RD",
"city": "NEWARK",
"state": "OH",
"postal_code": "430551183",
"telephone_number": "740-522-7800",
"fax_number": "740-788-6002"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MEDICAL CENTER OF NEWARK, L.L.C.",
"organizational_subpart": "NO",
"enumeration_date": "2007-06-15",
"last_updated": "2010-12-03",
"status": "A",
"authorized_official_last_name": "SHEPPARD",
"authorized_official_first_name": "DAVE",
"authorized_official_title_or_position": "CFO",
"authorized_official_telephone_number": "740-522-7821"
},
"taxonomies": [
{
"code": "282N00000X",
"taxonomy_group": "",
"desc": "General Acute Care Hospital",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2815565",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Newark, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.