Organization Active NPI

MC Hospital LLC

  • Rehabilitation Hospital Unit
  • Massillon, OH
National Provider Identifier
1962435024
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Hospital UnitTaxonomy code 273Y00000X
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 9, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Hospital Unit 273Y00000X Primary

Addresses

Primary practice location

875 8TH St NE
Massillon, OH 44646-8503

Mailing address

14117 Collections Center Dr
Chicago, IL 60693
Phone (330) 832-8761

Other identifiers 1

IdentifierTypeStateIssuer
5589420MedicaidOH

Other names 1

  • Massillon Community Hospital Doing business as

National Provider Directory

National Provider Directory

Locations

14117 Collections Ctr Dr
Chicago, IL 60693

NPI Registry JSON

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

{
    "created_epoch": "1152403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1962435024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14117 COLLECTIONS CENTER DR",
            "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": "2006-07-09",
        "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": "273Y00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Unit",
            "state": null,
            "license": null,
            "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"
        }
    ]
}

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 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.