Provider Demographics
NPI:1245685452
Name:ROCK CREEK MEDICAL CENTER
Entity type:Organization
Organization Name:ROCK CREEK MEDICAL CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:PAT
Authorized Official - Middle Name:
Authorized Official - Last Name:WESTON-HALL
Authorized Official - Suffix:
Authorized Official - Credentials:LISW
Authorized Official - Phone:440-563-3400
Mailing Address - Street 1:2863 ST RT 45 N
Mailing Address - Street 2:
Mailing Address - City:ROCK CREEK
Mailing Address - State:OH
Mailing Address - Zip Code:44084
Mailing Address - Country:US
Mailing Address - Phone:440-563-3400
Mailing Address - Fax:440-563-9363
Practice Address - Street 1:2863 ST RT 45 N
Practice Address - Street 2:
Practice Address - City:ROCK CREEK
Practice Address - State:OH
Practice Address - Zip Code:44084
Practice Address - Country:US
Practice Address - Phone:440-563-3400
Practice Address - Fax:440-563-9363
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:GLENBEIGH HEALTH SOURCES
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2016-04-26
Last Update Date:2018-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes284300000XHospitalsSpecial Hospital
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH=========OtherTAX ID