NPIMap

Organization Active NPI

Mary Rutan Hospital

Doing business as Mary Rutan Urbana Clinic

  • Rural Health Clinic/Center
  • Urbana, OH
National Provider Identifier
1255179396
Registry record updated Jul 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
MARY RUTAN HOSPITAL
Doing business as
Mary Rutan Urbana Clinic
Practice address
1880 E US Highway 36
Urbana, OH 43078-9600
Phone
(937) 887-0164
Fax
(937) 887-0167
NPI assigned
Jul 15, 2024
Last updated
Jul 15, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
MARY RUTAN HOSPITALAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 15, 2024

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

Authorized official

Name
Thomas Denbow
Title
VP of Finance and Development
Phone
(937) 651-6688

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X NU Primary

Addresses

Primary practice location

1880 E US Highway 36
Urbana, OH 43078-9600

Mailing address

1880 E US Highway 36
Urbana, OH 43078-9600
Phone (937) 887-0164

Other names 1

  • Mary Rutan Urbana Clinic Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
36D2093403Mary Rutan Hospital1880 East US Highway 36, Urbana, OH 43078Certificate of waiverFeb 29, 2028

National Provider Directory

National Provider Directory
Tax ID family
Madriver Family Pract12 organizations share this tax ID, including this one
Part of
Madriver Family Pract

Other organizations with this tax ID 11

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

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1721001600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721001600000",
    "number": "1255179396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1880 E US HIGHWAY 36",
            "city": "URBANA",
            "state": "OH",
            "postal_code": "430789600",
            "telephone_number": "937-887-0164",
            "fax_number": "937-887-0167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1880 E US HIGHWAY 36",
            "city": "URBANA",
            "state": "OH",
            "postal_code": "430789600",
            "telephone_number": "937-887-0164",
            "fax_number": "937-887-0167"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARY RUTAN HOSPITAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MARY RUTAN HOSPITAL",
        "enumeration_date": "2024-07-15",
        "last_updated": "2024-07-15",
        "certification_date": "2024-07-15",
        "status": "A",
        "authorized_official_last_name": "DENBOW",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "VP OF FINANCE AND DEVELOPMENT",
        "authorized_official_telephone_number": "937-651-6688"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mary Rutan Urbana Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Urbana, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.