Organization Active NPI

Mary Rutan Hospital

  • Medicare Defined Swing Bed Hospital Unit
  • Bellefontaine, OH
National Provider Identifier
1437452976
Registry record updated Apr 8, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medicare Defined Swing Bed Hospital UnitTaxonomy code 275N00000X
Legal business name
MARY RUTAN HOSPITAL
Practice address
205 E Palmer Rd
Bellefontaine, OH 43311-2281
Phone
(937) 592-4015
NPI assigned
Dec 6, 2010
Last updated
Apr 8, 2011By the provider in NPPES
Organization subpart
Yes
Parent organization
MARY RUTAN HOSPITALAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 8, 2011

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

Authorized official

Name
Amanda C. Goble
Title
President/Ceo
Phone
(937) 592-4015

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medicare Defined Swing Bed Hospital Unit 275N00000X Primary

Addresses

Primary practice location

205 E Palmer Rd
Bellefontaine, OH 43311-2281

Mailing address

205 E Palmer Rd
Bellefontaine, OH 43311-2281
Phone (937) 592-4015

National Provider Directory

National Provider Directory
Part of
Madriver Family Pract

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": "1291593600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1302220800000",
    "number": "1437452976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 E PALMER RD",
            "city": "BELLEFONTAINE",
            "state": "OH",
            "postal_code": "433112281",
            "telephone_number": "937-592-4015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 E PALMER RD",
            "city": "BELLEFONTAINE",
            "state": "OH",
            "postal_code": "433112281",
            "telephone_number": "937-592-4015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARY RUTAN HOSPITAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MARY RUTAN HOSPITAL",
        "enumeration_date": "2010-12-06",
        "last_updated": "2011-04-08",
        "status": "A",
        "authorized_official_last_name": "GOBLE",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "937-592-4015"
    },
    "taxonomies": [
        {
            "code": "275N00000X",
            "taxonomy_group": "",
            "desc": "Medicare Defined Swing Bed Unit",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellefontaine, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2011; 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.