Active NPI
Massillon Regional Medical Center
- General Acute Care Hospital
- Massillon, OH
National Provider Identifier
1912489436
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Acute Care Hospital
- Legal business name
- MASSILLON REGIONAL MEDICAL CENTER
- Practice address
- 875 8TH St NE
Massillon, OH 44646 - Phone
- (865) 801-3501
- NPI assigned
- Aug 31, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Matthew Brock
- Title
- Managing Partner/Ceo
- Phone
- (865) 801-3501
Specialties & licenses 7
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medical Services (Emergency Medicine) Physician | 207PE0004X | |||
| Psychiatric Hospital Unit | 273R00000X | |||
| General Acute Care Hospital | 282N00000X | Primary | ||
| Clinical Medical Laboratory | 291U00000X | |||
| Skilled Nursing Facility | 314000000X | |||
| Blood Bank | 331L00000X | |||
| Pharmacy | 333600000X |
Addresses
Primary practice location
875 8TH St NE
Massillon, OH 44646
Mailing address
875 8TH St NE
Massillon, OH 44646-8503
Phone (865) 801-3501
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1535673600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1535673600000",
"number": "1912489436",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "875 8TH ST NE",
"city": "MASSILLON",
"state": "OH",
"postal_code": "446468503",
"telephone_number": "865-801-3501"
},
{
"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": "44646",
"telephone_number": "865-801-3501"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MASSILLON REGIONAL MEDICAL CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2018-08-31",
"last_updated": "2018-08-31",
"status": "A",
"authorized_official_last_name": "BROCK",
"authorized_official_first_name": "MATTHEW",
"authorized_official_title_or_position": "MANAGING PARTNER/CEO",
"authorized_official_telephone_number": "865-801-3501"
},
"taxonomies": [
{
"code": "207PE0004X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Emergency Medicine, Emergency Medical Services",
"state": null,
"license": null,
"primary": false
},
{
"code": "273R00000X",
"taxonomy_group": "",
"desc": "Psychiatric Unit",
"state": null,
"license": null,
"primary": false
},
{
"code": "282N00000X",
"taxonomy_group": "",
"desc": "General Acute Care Hospital",
"state": null,
"license": null,
"primary": true
},
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": null,
"license": null,
"primary": false
},
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": null,
"license": null,
"primary": false
},
{
"code": "331L00000X",
"taxonomy_group": "",
"desc": "Blood Bank",
"state": null,
"license": null,
"primary": false
},
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Massillon, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.