CLINTON MEMORIAL HOSPITAL (NPI# 1093869513) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093869513 |
| Entity Type | Organization |
| Organization Name | CLINTON MEMORIAL HOSPITAL |
| Other Organization Name | CMH PROGRESSIVE CARE UNIT |
| Practice Address |
610 W Main St Wilmington OH 45177-2125 |
| Mailing Address |
610 W Main St P.o. Box 600 Wilmington OH 45177-2125 |
| Practice Telephone | 9373826611 |
| Practice Fax Number | 9373826633 |
| Mailing Telephone | 9373826611 |
| Mailing Fax Number | 9373826633 |
| Enumeration Date | 2007-01-22 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. TIMOTHY J CROWLEY (CEO) |
| Authorized Official Telephone | 9373826611 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| CMH Progressive Care Unit | Other Name - Individual/Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | CLINTON MEMORIAL HOSPITAL INPATIENT REHAB UNIT | 610 W Main St, Wilmington, OH 45177-2125 |
| Street Address |
610 W MAIN ST |
| City | WILMINGTON |
| State | OH |
| Zip Code | 45177-2125 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356329890 | Professional Emergency Specialists of Southern Ohio | Emergency Medicine | 610 W Main St, Wilmington, OH 45177-2125 | 2006-01-05 |
| 1881200475 | Adfinitas Health of Ohio, LLC | Hospitalist | 610 W Main St, Wilmington, OH 45177-2194 | 2020-09-18 |
| 1194265728 | Assurance Health Wilmington, LLC | Psychiatric Unit | 610 W Main St, Wilmington, OH 45177-2125 | 2017-03-01 |
| 1952858797 | Kyle Fenner | Physician Assistant | 610 W Main St, Wilmington, OH 45177-2125 | 2016-09-09 |
| 1326594748 | Blaine Hill Emergency Physicians, LLC | Physician Assistant | 610 W Main St, Wilmington, OH 45177-2125 | 2016-08-26 |
| 1396291720 | Good River Emergency Physicians, LLC | Physician Assistant | 610 W Main St, Wilmington, OH 45177-2125 | 2016-08-26 |
| 1730632100 | Lurajean Cravens | Nurse Practitioner | 610 W Main St, Wilmington, OH 45177-2125 | 2016-08-02 |
| 1194177865 | Melissa Storer | Nurse Practitioner | 610 W Main St, Wilmington, OH 45177-2125 | 2016-07-06 |
| 1831571009 | Syed T Ahsan | Internal Medicine | 610 W Main St, Wilmington, OH 45177-2125 | 2015-06-24 |
| 1780071696 | Benjamin Herendeen | Physician Assistant | 610 W Main St, Wilmington, OH 45177-2125 | 2015-04-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710542220 | Kratzer Pharmacy Inc. | Pharmacy | 187 W Locust St, Wilmington, OH 45177 | 2019-05-09 |
| 1639642754 | Jerrica Kimber Smith | Physical Therapy Assistant | 175 Cape May Dr., Therapy Suite, Wilmington, OH 45177 | 2019-01-11 |
| 1083187280 | Heather Freytag | Physical Therapy Assistant | 175 Cape May Drive, Wilmington, OH 45177 | 2019-01-10 |
| 1740780865 | Greater Tomorrow Wellness, LLC | Physician Assistant | 1097 W Locust St, Wilmington, OH 45177 | 2018-02-15 |
| 1144632431 | Orion Rehabilitation Center, Inc. | Day Training, Developmentally Disabled Services | 4595 State Route 730, Wilmington, OH 45177 | 2014-05-21 |
| 1841546975 | Kathleen Michelle Miller | Nurse Practitioner | 610 West Main Street, Emergency Department, Wilmington, OH 45177 | 2012-07-26 |
| 1952693590 | John K Loudermilk Inc. | Dentist | 260 W. Locust St., Wilmington, OH 45177 | 2011-05-13 |
| 1619209475 | Premier Health Care LLC | Clinic/Center | 2845 Progress Way, Wilmington, OH 45177 | 2010-02-04 |
| 1417179474 | Larry Alan Howard | Specialist/Technologist | Wilmington College, 1870 Quaker Way, Box 1246, Wilmington, OH 45177 | 2007-05-02 |
| 1659494425 | Alan Robert Thompson | Chiropractor | 39 North South Street, Wilmington, OH 45177 | 2007-04-09 |
| Find all providers in zip 45177 | ||||
| Taxonomy Code | 314000000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Skilled Nursing Facility |
| (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis. |
| Notes: Source: (1) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 64; (2) AHA Guide, 1996 Annual Survey. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396208039 | Wilmington Rehab Center LLC | Skilled Nursing Facility | 90 West Street, Wilmington, MA 01887 | 2019-04-10 |
| 1821573809 | Carolina Bay Healthcare Center of Wilmington, LLC | Skilled Nursing Facility | 740 Diamond Shoals Rd, Wilmington, NC 28403-4388 | 2018-09-26 |
| 1356849061 | South Bay Sunset Pavilion | Skilled Nursing Facility | 1565 Gulf Ave, Wilmington, CA 90744-2011 | 2018-01-28 |
| 1043603830 | Ronza Fouch | Skilled Nursing Facility | 1035 Linhof Rd, Wilmington, OH 45177-2915 | 2015-03-18 |
| 1841697422 | Cornelia Nixon Davis, Inc. | Skilled Nursing Facility | 83 Cavalier Dr., 200, Wilmington, NC 28405-4444 | 2014-11-26 |
| 1255682522 | Wrightsville Health Holdings, LLC | Skilled Nursing Facility | 3800 Independence Boulevard, Wilmington, NC 28412-2599 | 2012-09-27 |
| 1194028118 | Lutheran Home - Wilmington, Inc. | Skilled Nursing Facility | 631 Junction Creek Drive, Wilmington, NC 28412-2296 | 2010-12-14 |
| 1942342662 | Greenville Retirement Community L.L.C. | Skilled Nursing Facility | 4031 Kennett Pike, Wilmington, DE 19807-2047 | 2007-02-12 |
| 1447314794 | Jha Wilmington Inc. | Skilled Nursing Facility | 801 N Broom St, Wilmington, DE 19806-4624 | 2006-12-21 |
| 1225190572 | Embassy Care Center | Skilled Nursing Facility | 555 W Kahler Rd, Wilmington, IL 60481-1527 | 2006-12-14 |
| Find all providers in WILMINGTON | ||||
| City | WILMINGTON |
| Zip Code | 45177 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.