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MARY RUTAN HOSPITAL
NPI 1255179396
Clinic/Center - Rural Health in Urbana, OH

Active since July 15, 2024CLIA Certified · 2 labs
1880 E US HIGHWAY 36, URBANA, OH 43078(937) 887-0164(937) 887-0167 Get Directions Write a Review

NPPES record last updated: July 15, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mary Rutan Hospital NPPES

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

MARY RUTAN HOSPITAL (NPI 1255179396), doing business as Mary Rutan Urbana Clinic, is a healthcare organization registered as a rural health in Urbana, Ohio and active in the NPI registry since July 2024. The organization holds 2 active CLIA laboratory certificates and lists Thomas Denbow, Vp Of Finance And Development, as its authorized official.

NPPES Registry Identity

NPI1255179396
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameMARY RUTAN HOSPITAL
Location Address1880 E US HIGHWAY 36Urbana, OH 43078-9600
Mailing Address1880 E Us Highway 36Urbana, OH 43078-9600 · (937) 887-0164 · Fax (937) 887-0167
Phone(937) 887-0164
Fax(937) 887-0167
Organization SubpartYes
Authorized OfficialThomas DenbowVp Of Finance And Development · (937) 651-6688
Enumeration DateJuly 15, 2024
NPPES CertifiedJuly 15, 2024
✔ NPI 1255179396 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
1880 E US HIGHWAY 36, Urbana, OH 43078
Open in Google Maps ↗

Other Names 1

Doing Business AsMary Rutan Urbana Clinic

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 36D2093403

Mary Rutan Hospital · Urbana, OH
Active · expires Feb 29, 2028
CLIA Number36D2093403
Laboratory TypePhysician Office
Certificate Effective DateMarch 1, 2026
Certificate Expiration DateFebruary 29, 2028
Laboratory DirectorDr. Anthony L. Beisler
Laboratory Phone(937) 887-0166
Laboratory LocationMary Rutan Hospital1880 East Us Highway 36, Urbana, OH 43078
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 36D2209700

Mary Rutan Hospital Specialty Care Center · Urbana, OH
Active · expires Jan 14, 2027
CLIA Number36D2209700
Laboratory TypeHospital
Certificate Effective DateJanuary 15, 2025
Certificate Expiration DateJanuary 14, 2027
Laboratory DirectorDr. Anthony L. Beisler
Laboratory Phone(937) 599-7058
Laboratory LocationMary Rutan Hospital Specialty Care Center209 Lippincott Lane, Urbana, OH 43078
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 5

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

LEIGH ANN SWANK FNP-C, PMHNP-BC
Nurse Practitioner (Family)
1880 E US HIGHWAY 36
URBANA, OH 43078
Champaign County (937) 887-0164
KARENA CHRISTINE HAGER
Nurse Practitioner (Family)
1880 E US HIGHWAY 36
URBANA, OH 43078
Champaign County (937) 887-0164
TOTAL RENAL CARE INC
Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
1880 E US HIGHWAY 36
URBANA, OH 43078
Champaign County (937) 484-3500
URBANA DIALYSIS LLC
Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
1880 E US HIGHWAY 36
URBANA, OH 43078
Champaign County (937) 484-3500
MRS. MARIE Y BARTH
Nurse Practitioner (Family)
1880 E US HIGHWAY 36
URBANA, OH 43078
Champaign County (937) 887-0164

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 1255179396. It was assigned to this organization in the NPPES registry on July 15, 2024. The provider is doing business as Mary Rutan Urbana Clinic.

Where is Mary Rutan Hospital located?

Mary Rutan Hospital is located at 1880 E Us Highway 36, Urbana, OH 43078. The listed phone number is (937) 887-0164.

What is Mary Rutan Hospital's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.

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 July 15, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.