Organization Active NPI

Clinton Memorial Hospital of Wilmington Clinton County Ohio

  • Rural Acute Care Hospital
  • Wilmington, OH
National Provider Identifier
1427064641
Registry record updated Aug 29, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Acute Care HospitalTaxonomy code 282NR1301X
License
1124 Issued in OH
Legal business name
CLINTON MEMORIAL HOSPITAL OF WILMINGTON CLINTON COUNTY OHIO
Practice address
610 W Main St
Wilmington, OH 45177-2125
Phone
(937) 382-6611
Fax
(937) 382-6633
NPI assigned
Jul 31, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2007

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

Authorized official

Name
Ms. Karen Shadowens
Title
VP and Chief Financial Officer
Phone
(937) 382-9205

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Acute Care Hospital 282NR1301X 1124 OH Primary

Addresses

Primary practice location

610 W Main St
Wilmington, OH 45177-2125

Mailing address

610 W Main St
P.O. Box 600
Wilmington, OH 45177-2125
Phone (937) 382-6611

Other identifiers 1

IdentifierTypeStateIssuer
1575148MedicaidOH

Other names 1

  • CMH Regional Health System Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 52

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 52

NPI Registry JSON

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

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1188345600000",
    "number": "1427064641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "610 W MAIN ST",
            "address_2": "P.O. BOX 600",
            "city": "WILMINGTON",
            "state": "OH",
            "postal_code": "451772125",
            "telephone_number": "937-382-6611",
            "fax_number": "937-382-6633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 W MAIN ST",
            "city": "WILMINGTON",
            "state": "OH",
            "postal_code": "451772125",
            "telephone_number": "937-382-6611",
            "fax_number": "937-382-6633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLINTON MEMORIAL HOSPITAL OF WILMINGTON CLINTON COUNTY OHIO",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-31",
        "last_updated": "2007-08-29",
        "status": "A",
        "authorized_official_last_name": "SHADOWENS",
        "authorized_official_first_name": "KAREN",
        "authorized_official_title_or_position": "VP AND CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "937-382-9205",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "282NR1301X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Rural",
            "state": "OH",
            "license": "1124",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1575148",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CMH Regional Health System",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Wilmington, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2007; 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.