Coshocton County Memorial Hospital Association

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

COSHOCTON COUNTY MEMORIAL HOSPITAL ASSOCIATION

Doing business as

Coshocton County Memorial Association Extended Care Facility

Practice address

1460 Orange St
Coshocton, OH 43812-2229

Phone

(740) 622-6411

NPI assigned

Jan 9, 2006

Last updated

Mar 6, 2008By the provider in NPPES

Organization subpart

No

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

Addresses

Other identifiers 3

Other names 1

• Coshocton County Memorial Association Extended Care Facility Doing business as

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

{
    "created_epoch": "1136764800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204761600000",
    "number": "1316925332",
    "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": "2006-01-09",
        "last_updated": "2008-03-06",
        "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": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0025734",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BWC",
            "identifier": "3148757701",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BLUE CROSS",
            "identifier": "000000156951",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Coshocton County Memorial Association Extended Care Facility",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Coshocton County Emergency Physicians Inc
• Coshocton County EMS, LLC
• Coshocton County Foot & Ankle Center, Inc
• Coshocton County Memorial Hospital (Lifeline)
• Coshocton County Memorial Hospital Association
• Coshocton County Memorial Hospital, Association
• Coshocton County Recovery LLC
• Coshocton Family Health Center, Inc.
• Coshocton Implant and Family Dentistry
• Coshocton Laboratory International LLC

• Skilled Nursing Facility in Coshocton, OH
• Providers in Coshocton, OH by specialty
• Skilled Nursing Facility in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2008; 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.