Salem Community Hospital

Organization Active NPI Durable Medical Equipment & Medical Supplies · Salem, OH

NPI 1194775700 · NPPES record last updated Aug 10, 2016

Key facts

NPI
1194775700
Entity type
Organization (NPI type 2)
Primary specialty
Durable Medical Equipment & Medical Supplies 332B00000X
Legal business name
SALEM COMMUNITY HOSPITAL
Practice address
2235 E Pershing St
Suite G
Salem, OH 44460
Phone
(330) 337-9922
Fax
(330) 332-2623
NPI assigned
May 12, 2006
Organization subpart
Yes
Parent organization (as reported)
SALEM COMMUNITY HOSPITAL

Authorized official

Name
Mrs. Anita A Hackstedde, M.D.
Title
President Ceo
Phone
(330) 332-7214

Other NPIs with the same Medicare PAC ID 3

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Corporate family (same tax ID) 5

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

Laboratory certificates & supplier records

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

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Salem Community Hospital
2235 E Pershing St, Salem, OH 44460-3470 · (330) 337-9922
Commodes, Urinals, Bedpans|Contracture Treatment Devices: Dynamic Splint|Blood Glucose Monitors/Supplies (Non-Mail Order)|Hospital Beds (Electric)|Support Surfaces: Pressure Reducing Beds/Mats/Pads|Canes and/or Crutches|Patient Lifts|Walkers|Wheelchairs (Standard Manual)|Wheelchair Seating/Cushions… Accepts assignment
Participating since Jan 1, 1998

Medicare participation

Medicare fee-for-service enrollment
Enrolled in OH

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20100930057911 OH DME Supplier - Medical Supply Company With Respiratory Therapist
DME Supplier - Oxygen & Equipment
2769586346 Practice locations: Salem, OH

National Provider Directory

Tax ID family
Salem Community Hospital (6 organizations share this tax ID)
Part of
Salem Community Hospital

Locations

2235 E Pershing St
Ste G
Salem, OH 44460
Phone (330) 337-9922

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Yes

Addresses

Primary practice location

2235 E Pershing St
Suite G
Salem, OH 44460

Mailing address

1995 E State St
Salem, OH 44460
Phone (330) 337-9922

Other identifiers

IdentifierTypeStateIssuer
0827734MedicaidOH

Other names

  • Salem Home Medical Doing business as

Other providers in Salem, OH

All providers in Salem, OH · Durable Medical Equipment & Medical Supplies in Ohio

Sources for this page

Verify at the official NPI Registry.