Provider Demographics
NPI:1902940042
Name:BROWN COUNTY GENERAL HOSPITAL
Entity Type:Organization
Organization Name:BROWN COUNTY GENERAL HOSPITAL
Other - Org Name:BROWN COUNTY REGIONAL HEALTHCARE-BETHEL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:J
Authorized Official - Last Name:FELS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:937-378-7806
Mailing Address - Street 1:210 N. UNION STREET
Mailing Address - Street 2:
Mailing Address - City:BETHEL
Mailing Address - State:OH
Mailing Address - Zip Code:45106
Mailing Address - Country:US
Mailing Address - Phone:513-734-9050
Mailing Address - Fax:513-734-9051
Practice Address - Street 1:210 N. UNION STREET
Practice Address - Street 2:
Practice Address - City:BETHEL
Practice Address - State:OH
Practice Address - Zip Code:45106
Practice Address - Country:US
Practice Address - Phone:513-734-9050
Practice Address - Fax:513-734-9051
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-19
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH1115207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH1037667Medicaid
OH1037667Medicaid