Provider Demographics
NPI:1952122236
Name:H.B. MAGRUDER MEMORIAL HOSPITAL
Entity type:Organization
Organization Name:H.B. MAGRUDER MEMORIAL HOSPITAL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIR. CONSOLIDATED BUSINESS OFFICE
Authorized Official - Prefix:
Authorized Official - First Name:EDMUND
Authorized Official - Middle Name:MICHAEL
Authorized Official - Last Name:NEUMANN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:419-301-4336
Mailing Address - Street 1:615 FULTON ST
Mailing Address - Street 2:
Mailing Address - City:PORT CLINTON
Mailing Address - State:OH
Mailing Address - Zip Code:43452-2001
Mailing Address - Country:US
Mailing Address - Phone:419-734-3131
Mailing Address - Fax:419-960-8027
Practice Address - Street 1:3994 E HARBOR RD STE B
Practice Address - Street 2:
Practice Address - City:PORT CLINTON
Practice Address - State:OH
Practice Address - Zip Code:43452-2645
Practice Address - Country:US
Practice Address - Phone:419-734-3131
Practice Address - Fax:419-960-8027
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:H.B. MAGRUDER MEMORIAL HOSPITAL
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2024-10-21
Last Update Date:2024-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy