Mad River Family Practice

LBN: Mary Rutan Hospital
Mad River Family Practice is an health care organization with primary practice located at 4879 Us Highway 68 S , West Liberty OH 43357-9525. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Mary Rutan Hospital can be contacted via phone (937) 599-1411, or through Carmin, Ron via phone (937) 592-4015.

Contact Information

Primary practice address
4879 Us Highway 68 S West Liberty OH 43357-9525
Phone: (937) 599-1411
Fax: (937) 465-9945
Website:
Map and Directions
Authorized official contact:
Name: Carmin, Ron
Phone: (937) 592-4015

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X

Profile Details

NPI number 1003875949
LBN Legal business name Mary Rutan Hospital
DBA Doing business as Mad River Family Practice
Authorized official Carmin, Ron
Entity Organization
Organization subpart 1 Yes
Enumeration date Mar 20th, 2006
Last updated Jul 10th, 2007 - about 19 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1003875949 NPPES
Ohio MEDICAID 2055332

Popular Providers