Organization Active NPI

Medical Center of Newark, L.L.C.

  • General Acute Care Hospital
  • Newark, OH
National Provider Identifier
1164627733
Registry record updated Dec 3, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
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

Updated by the provider on Dec 3, 2010

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
2815565MedicaidOH

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 Directory

NPI 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

Verify at the official NPI Registry.