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MAD RIVER INTERNAL MEDICINE
NPI 1134189475
Internal Medicine in Bellefontaine, OH

Active since March 23, 2006CLIA Certified · 2 labs
2231 TIMBER TRL, BELLEFONTAINE, OH 43311(937) 599-3115(937) 592-5285 Get Directions Write a Review

NPPES record last updated: August 24, 2010. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Mad River Internal Medicine NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MAD RIVER INTERNAL MEDICINE (NPI 1134189475) is a healthcare organization registered as an internal medicine in Bellefontaine, Ohio and active in the NPI registry since March 2006. The organization holds 2 active CLIA laboratory certificates and lists Ron Carmin, Vp/finance, as its authorized official.

NPPES Registry Identity

NPI1134189475
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameMARY RUTAN HOSPITAL
Location Address2231 TIMBER TRLBellefontaine, OH 43311-9036
Mailing Address2231 Timber TrlBellefontaine, OH 43311-9036 · (937) 599-3115 · Fax (937) 592-5285
Phone(937) 599-3115
Fax(937) 592-5285
Organization SubpartYes
Authorized OfficialRon CarminVp/finance · (937) 592-4015
Enumeration DateMarch 23, 2006
Last NPPES UpdateAugust 24, 2010
✔ NPI 1134189475 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
2231 TIMBER TRL, Bellefontaine, OH 43311
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Other Names 1

Doing Business AsMad River Internal Medicine

Other Identifiers 2

Medicare ID-Type Unspecified9296982OH
Medicaid7607503OH

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA 2

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 36D0330717

Mary Rutan Hospital Internal Medicine · Bellefontaine, OH
Active · expires Feb 28, 2027
CLIA Number36D0330717
Laboratory TypeHospital
Certificate Effective DateMarch 1, 2025
Certificate Expiration DateFebruary 28, 2027
Laboratory DirectorDr. Anthony L. Beisler
Laboratory Phone(937) 599-3115
Laboratory LocationMary Rutan Hospital Internal Medicine2231 Timber Trail, Bellefontaine, OH 43311
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 36D1093329

Mary Rutan Hospital Ambulatory Care Center · Bellefontaine, OH
Active · expires Jul 31, 2028
CLIA Number36D1093329
Laboratory TypeHospital
Certificate Effective DateAugust 1, 2026
Certificate Expiration DateJuly 31, 2028
Laboratory DirectorRoger G. Amigo
Laboratory Phone(937) 593-0070
Laboratory LocationMary Rutan Hospital Ambulatory Care Center2160 Ewing Crawfis Circle, Bellefontaine, OH 43311
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

WINFRED E STOLTZFUS MD
Internal Medicine
2231 TIMBER TRL
BELLEFONTAINE, OH 43311
Logan County (937) 599-3115
DR. ABDUL A DADA MD
Family Medicine
2231 TIMBER TRL
BELLEFONTAINE, OH 43311
Logan County (937) 599-3115
MARY RUTAN HOSPITAL
Clinic/Center (Rural Health)
2231 TIMBER TRL
BELLEFONTAINE, OH 43311
Logan County (937) 599-3115
MATTHEW W SCHILLING DO
Family Medicine
2231 TIMBER TRL
BELLEFONTAINE, OH 43311
Logan County (937) 599-3115
SARAH CHANNELL NP-C
Nurse Practitioner (Family)
2231 TIMBER TRL
BELLEFONTAINE, OH 43311
Logan County (937) 599-3115
ANGELA L RUTAN CNP
Nurse Practitioner (Family)
2231 TIMBER TRL
BELLEFONTAINE, OH 43311
Logan County (937) 599-3115
KIMBERLY ANN SCRIVEN M.D.
Surgery
2231 TIMBER TRL
BELLEFONTAINE, OH 43311
Logan County (937) 292-3474
DR. INDRANI SHREEKANTH CHUTKAY M.D.
Internal Medicine
2231 TIMBER TRL
BELLEFONTAINE, OH 43311
Logan County (937) 599-3115

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mary Rutan Hospital's NPI number?

The NPI number for Mary Rutan Hospital is 1134189475. It was assigned to this organization in the NPPES registry on March 23, 2006. The provider is doing business as Mad River Internal Medicine.

Where is Mary Rutan Hospital located?

Mary Rutan Hospital is located at 2231 Timber Trl, Bellefontaine, OH 43311. The listed phone number is (937) 599-3115.

What is Mary Rutan Hospital's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Does Mary Rutan Hospital hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Mary Rutan Hospital was last updated on August 24, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.