LICKING MEMORIAL HOSPITAL
NPI 1568446755
General Acute Care Hospital in Newark, OH
About Licking Memorial Hospital NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LICKING MEMORIAL HOSPITAL (NPI 1568446755) is a healthcare organization registered as a general acute care hospital in Newark, Ohio and active in the NPI registry since December 2005. The organization holds a CLIA Certificate of Compliance certificate valid through October 29, 2027 and lists Robert A Montagnese, Executive Vice President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity.
Other Identifiers 1
Accepted Insurance
Inpatient Rehabilitation Information
The Centers for Medicare and Medicaid Services Inpatient Rehabilitation Facility (IRF) data provides information on the quality of care that rehabilitation facilities are providing to their patients. This information can help consumers make informed decisions about health care.
- LICKING MEMORIAL HOSPITAL has an ownership type of Non-profit
- The facility received its Medicare certification on 01-01-2013
| Medical Condition | Times Conditions Treated |
|---|---|
| All other conditions | Less than 11 - The number of cases/patient stays is too small to report. |
| Brain disease or condition (non-traumatic) | Less than 11 - The number of cases/patient stays is too small to report. |
| Brain injury (traumatic) | Not Available - Data not available for this reporting period. |
| Hip or femur fracture | 35 |
| Hip or knee replacement, amputation or other bone or joint condition | 29 |
| Nervous system disorder (excluding stroke) | Less than 11 - The number of cases/patient stays is too small to report. |
| Spinal cord disease or condition (non-traumatic) | Less than 11 - The number of cases/patient stays is too small to report. |
| Spinal cord injury (traumatic) | Not Available - Data not available for this reporting period. |
| Stroke | 37 |
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 36D2134089
- Facility Type
- Physician Office
- Certificate Effective Date
- October 30, 2025
- Certificate Expiration Date
- October 29, 2027
- Laboratory Director
- THOMAS J. HAGELE
- Certificate Type
- Certificate of Compliance
- Certificate Type Description
- This CLIA certificate is issued to Licking Memorial Hospital after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements. This type of certificate is issued to laboratories that perform nonwaived (moderate and/or high complexity) testing.
Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
NEWARK, OH 43055
NEWARK, OH 43055
NEWARK, OH 43055
NEWARK, OH 43055
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1568446755, enumerated as an "organization" on December 01, 2005.
The provider is located at 1320 W MAIN ST NEWARK, OH 43055 and the phone number is (740) 348-4513.
General Acute Care Hospital with taxonomy code 282N00000X.
The provider might be accepting Accepts: Anthem Blue Cross and Blue Shield, MedMutual,. Please consult your insurance carrier or call the provider to verify.
