City Of Marietta

LBN: City Of Marietta
City Of Marietta is an health care organization with primary practice located at 304 Putnam St , Marietta OH 45750-3022. The organization recently has only one registered license in Agencies / Public Health or Welfare, which is considered as the primary health care specialty. City Of Marietta can be contacted via phone (740) 373-0611, or through Brockett, Michael K via phone (740) 373-0611.

Contact Information

Primary practice address
304 Putnam St Marietta OH 45750-3022
Phone: (740) 373-0611
Fax: (740) 376-2008
Website:
Map and Directions
Authorized official contact:
Name: Brockett, Michael K Doctor of Medicine (MD)
Phone: (740) 373-0611

Health care specialties

SpecialtyCodeLicense #State
Agencies / Public Health or Welfare 251K00000X 35043094B Ohio

Profile Details

NPI number 1316983273
LBN Legal business name City Of Marietta
DBA Doing business as
Authorized official Brockett, Michael K Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 21st, 2006
Last updated Nov 24th, 2014 - about 11 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1316983273 NPPES
Ohio MEDICAID 0515071

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