Active NPI
MC Hospital LLC
- Rehabilitation Hospital Unit
- Massillon, OH
National Provider Identifier
1962435024
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Hospital Unit
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5589420 | Medicaid | OH |
Other names 1
- Massillon Community Hospital
National Provider Directory
National Provider DirectoryLocations
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.