MC Hospital LLC

Primary specialty

Psychiatric Hospital UnitTaxonomy code 273R00000X

License

PPH-05-2468 Issued in OH

Legal business name

MC HOSPITAL LLC

Doing business as

Massillon Community Hospital

Practice address

875 8TH St NE
Massillon, OH 44646-8503

Phone

(330) 832-8761

Fax

(330) 837-6871

NPI assigned

Jul 10, 2006

Organization subpart

No

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

Authorized official

Name

Rebecca Hurley

Title

Senior Vice President

Phone

(214) 473-3993

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Massillon Community Hospital Doing business as

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

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1841224383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14117 COLLECTIONS CENTER DRIVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60693",
            "telephone_number": "330-832-8761",
            "fax_number": "330-837-6871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "875 8TH ST NE",
            "city": "MASSILLON",
            "state": "OH",
            "postal_code": "446468503",
            "telephone_number": "330-832-8761",
            "fax_number": "330-837-6871"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MC HOSPITAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HURLEY",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_title_or_position": "SENIOR VICE PRESIDENT",
        "authorized_official_telephone_number": "214-473-3993"
    },
    "taxonomies": [
        {
            "code": "273R00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Unit",
            "state": "OH",
            "license": "PPH-05-2468",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5589420",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Massillon Community Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Janet Matz
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• Michael L Mays, CRNA
• MC Hospital LLC
• MC Hospital LLC
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• Mercedes McAllister
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• Kim Larie McBeth, RPH

• Psychiatric Hospital Unit in Massillon, OH
• Providers in Massillon, OH by specialty
• Psychiatric Hospital Unit in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.