MARIETTA MEMORIAL HOSPITAL (NPI# 1942272901) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942272901 |
| Entity Type | Organization |
| Organization Name | MARIETTA MEMORIAL HOSPITAL |
| Other Organization Name | REHABILITATION UNIT |
| Practice Address |
401 Matthew St Marietta OH 45750-1635 |
| Mailing Address |
401 Matthew St Attn: Provider Enrollment Marietta OH 45750-1635 |
| Practice Telephone | 7403741413 |
| Practice Fax Number | 7403765078 |
| Mailing Telephone | 7403746090 |
| Mailing Fax Number | 7403743165 |
| Enumeration Date | 2006-02-03 |
| Last Update Date | 2013-10-11 |
| Authorized Official Name | ERIC YOUNG (CFO) |
| Authorized Official Telephone | 7403741641 |
| Is Organization Subpart | Y |
| Parent Organization Name | MARIETTA MEMORIAL HOPSITAL |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 273Y00000X | Rehabilitation Unit | Hospital Units |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 5511566 | 05 |
| Other Name | Type Code |
|---|---|
| Rehabilitation Unit | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568620417 | Marietta Memorial Hospital | Pharmacy | 799 Farson St Ste 214, Belpre, OH 45714-1044 | 2008-05-28 |
| 1447649025 | Marietta Memorial Hospital | Allergy & Immunology | 401 Matthew St, Provider Enrollment, Marietta, OH 45750-1635 | 2015-01-20 |
| 1154393114 | Marietta Memorial Hospital | Psychiatric Unit | 401 Matthew St, Marietta, OH 45750-1635 | 2006-02-03 |
| 1215936927 | Marietta Memorial Hospital | General Acute Care Hospital | 401 Matthew St, Marietta, OH 45750-1635 | 2005-07-15 |
| Street Address |
401 MATTHEW ST |
| City | MARIETTA |
| State | OH |
| Zip Code | 45750-1635 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114922440 | Anthony V Goocey | Nurse Practitioner | 401 Matthew St, Emergency Dept, Marietta, OH 45750-1635 | 2005-06-14 |
| 1265046650 | Haley Pressley | Pharmacist | 401 Matthew St, Marietta, OH 45750-1635 | 2020-09-02 |
| 1609495811 | Tiffany Diane Rebholz | Respiratory Therapist, Registered | 401 Matthew St, Marietta, OH 45750-1699 | 2020-04-09 |
| 1316576903 | Pamela R Brearey | Student in an Organized Health Care Education/Training Program | 401 Matthew St, Ferguson Building, Marietta, OH 45750 | 2020-04-06 |
| 1053940155 | Spencer Ashcraft | Student in an Organized Health Care Education/Training Program | 401 Matthew St, Ferguson Building, Marietta, OH 45750 | 2020-04-02 |
| 1447889464 | Shaun Mcmillin | Student in an Organized Health Care Education/Training Program | 401 Matthew St, Ferguson Building, Marietta, OH 45750 | 2020-04-02 |
| 1528697505 | Raymond W Dobson | Student in an Organized Health Care Education/Training Program | 401 Matthew St, Ferguson Building, Marietta, OH 45750 | 2020-04-02 |
| 1023647088 | Alyssa M Gates | Student in an Organized Health Care Education/Training Program | 401 Matthew St, Ferguson Building, Marietta, OH 45750 | 2020-04-02 |
| 1013546076 | Elaine Stearney | Student in an Organized Health Care Education/Training Program | 401 Matthew St, Ferguson Building, Marietta, OH 45750 | 2020-04-02 |
| 1205490919 | Justin Cole Lyttle | Nurse Anesthetist, Certified Registered | 401 Matthew St, Marietta, OH 45750-1635 | 2019-04-29 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073111654 | Mary V Byrd | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 37 Sterling Rd, Marietta, OH 45750 | 2020-10-15 |
| 1356997522 | Jeffry Todd Arthur | Pharmacist | 401 Matthew Street Suite 100, Marietta, OH 45750 | 2019-08-14 |
| 1164965752 | Jennifer Ann Simmons | Counselor | 121 Putnam St, Marietta, OH 45750 | 2016-11-30 |
| 1811449010 | Kaylee Rebecca-ann Weihl | Counselor | 207 D Colegate Drive, Marietta, OH 45750 | 2016-11-04 |
| 1467802181 | Jody Alden | Registered Nurse | 342 Muskingum Dr., Marietta, OH 45750 | 2016-06-14 |
| 1073998944 | Rise A. Gibson | Dental Hygienist | 342 Muskingum Drive, Marietta, OH 45750 | 2015-07-21 |
| 1639559602 | Washington County Board of Developmental Dissabilities | Day Training, Developmentally Disabled Services | 1701 Colegate Dr., Marietta, OH 45750 | 2015-06-04 |
| 1902290406 | Irina Catanescu | Emergency Medicine | 401 Matthew Street, Emergency Department, Marietta, OH 45750 | 2015-03-23 |
| 1134520356 | Susan Jahn | Occupational Therapist | 1338a Colegate Dr, Marietta, OH 45750 | 2014-09-08 |
| 1740696087 | Melissa D Maston | Registered Nurse | Express Care - Marietta, 800 Pike St Ste 2, Marietta, OH 45750 | 2014-07-08 |
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| Taxonomy Code | 273Y00000X |
| Grouping | Hospital Units |
| Classification | Rehabilitation Unit |
| In general, a distinct unit of a general acute care hospital that provides care encompassing a comprehensive array of restoration services for the disabled and all support services necessary to help patients attain their maximum functional capacity. Source: AHA Annual Survey p. A10 1996 AHA Guide. For Medicare, a distinct part of a general acute care hospital providing inpatient rehabilitation services that meets the following requirements. Rehabilitation Units have in effect a preadmission screening procedure under which each prospective patient’s condition and medical history are reviewed to determine whether the patient is likely to benefit significantly from an intensive inpatient program or assessment; ensure that the patients receive close medical supervision and furnish, through the use of qualified personnel, rehabilitation nursing, physical therapy and occupational therapy, plus, as needed, speech therapy, social services or psychological services and orthotic and prosthetic services; have a plan of treatment for each inpatient that is established, reviewed, and revised as needed by a physician in consultation with other professional personnel who provide services to the patient; use a coordinated multidisciplinary team approach in the rehabilitation of each inpatient, as documented by periodic clinical entries made in the patient’s medical record to note the patient's status in relationship to goal attainment, and that team conferences are held at least every two weeks to determine the appropriateness of treatment; have a director of rehabilitation who provides services to the unit and its inpatients for at least 20 hours a week, is a doctor of medicine or osteopathy, is licensed under State law to practice medicine or surgery, and has had, after completing a one-year hospital internship at least two years of training or experience in the medical management of inpatients requiring rehabilitation services. |
| Notes: Source: Code of Federal Regulations #42, Section 412.29. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497135412 | Selby General Hospital | Rehabilitation Unit | 1106 Colegate Dr, Marietta, OH 45750-1323 | 2015-06-04 |
| 1578553343 | Kennestone Hospital, Inc | Rehabilitation Unit | 677 Church St Ne, Inpatient Rehab Unit/6 West, Marietta, GA 30060-1101 | 2005-10-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700250248 | Womack Army Medical Center | Rehabilitation Unit | 215 Ice Ave, 100, Dayton, OH 45402 | 2015-11-20 |
| 1902957335 | Kathiet Greene, Md, Inc | Rehabilitation Unit | 30575 Euclid Ave, Wickliffe, OH 44092-1037 | 2007-01-14 |
| 1376641068 | Edwin Shaw Rehab, LLC | Rehabilitation Unit | 330 Broadway Street East, Cuyahoga Falls, OH 44221 | 2006-09-20 |
| 1649298100 | Dayton Osteopathic Hospital | Rehabilitation Unit | 405 W Grand Avenue, Dayton, OH 45405-4720 | 2006-07-17 |
| 1740222009 | Aultman Hospital | Rehabilitation Unit | 2821 Woodlawn Ave Nw, Canton, OH 44708-1423 | 2006-06-12 |
| 1396346946 | Kettering Medical Center | Rehabilitation Unit | 4000 Miamisburg Centerville Rd, Miamisburg, OH 45342-7615 | 2020-11-02 |
| 1083236921 | Knox Community Hospital | Rehabilitation Unit | 1330 Coshocton Ave, Mount Vernon, OH 43050 | 2020-05-14 |
| 1346896875 | Fort Hamilton Hospital | Rehabilitation Unit | 630 Eaton Ave, Hamilton, OH 45013 | 2019-08-12 |
| 1306312921 | The Toledo Hospital | Rehabilitation Unit | 5200 Harroun Rd, Sylvania, OH 43560-2196 | 2018-10-22 |
| 1245789981 | Mercy Health - Anderson Hospital, LLC | Rehabilitation Unit | 7500 State Rd, Cincinnati, OH 45255-2439 | 2016-09-22 |
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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.