LICKING MEMORIAL HOSPITAL
NPI 1568446755
General Acute Care Hospital in Newark, OH

Q: What is Licking Memorial Hospital's NPI number?

The NPI number for Licking Memorial Hospital is 1568446755. It was assigned to this organization in the NPPES registry on December 1, 2005.

Q: What is Licking Memorial Hospital's specialty?

The primary specialty registered for this NPI is General Acute Care Hospital with taxonomy code 282N00000X.

Active since December 01, 2005CLIA Certified · 2 labs

1320 W MAIN ST, NEWARK, OH 43055(740) 348-4513(740) 348-4517 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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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 2 active CLIA laboratory certificates and lists Robert A Montagnese, Executive Vice President, as its authorized official.

NPPES Registry Identity

NPI1568446755

Entity TypeOrganization

Primary Taxonomy282N00000X

Legal Business NameLICKING MEMORIAL HOSPITAL

Location Address1320 W MAIN STNewark, OH 43055-1822

Mailing Address1320 W Main StNewark, OH 43055-1822 · (740) 348-4513 · Fax (740) 348-4517

Phone(740) 348-4513

Fax(740) 348-4517

Organization SubpartNo

Authorized OfficialRobert A MontagneseExecutive Vice President · (740) 348-4526

Enumeration DateDecember 1, 2005

Last NPPES UpdateAugust 22, 2020

✔ NPI 1568446755 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral Acute Care HospitalHospitals

Taxonomy Code282N00000X

Definition

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.

1320 W MAIN ST, Newark, OH 43055

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Other Identifiers 1

Medicaid5172389OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, MedMutual, Molina Healthcare.Insurance ›

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 36D2113307

Licking Memorial Hospital - Medication Therapy Clinic · Newark, OH

Active · expires May 18, 2028

CLIA Number36D2113307

Laboratory TypeAncillary Testing Site In Health Care Center

Certificate Effective DateMay 19, 2026

Certificate Expiration DateMay 18, 2028

Laboratory DirectorDr. Ejaz Ahmad

Laboratory Phone(220) 564-4155

Laboratory LocationLicking Memorial Hospital - Medication Therapy Clinic88 Mcmillen Drive, Newark, OH 43055

CLIA data matches this NPI record on: Name

This certificate is issued to a laboratory to perform only waived tests.

Certificate of Compliance 36D2134089

Licking Memorial Hospital Dermatology Clinic West Main · Newark, OH

Active · expires Oct 29, 2027

CLIA Number36D2134089

Laboratory TypePhysician Office

Certificate Effective DateOctober 30, 2025

Certificate Expiration DateOctober 29, 2027

Laboratory DirectorThomas J. Hagele

Laboratory Phone(220) 564-7955

Laboratory LocationLicking Memorial Hospital Dermatology Clinic West Main1717 West Main Street, Suite 204, Newark, OH 43055

CLIA data matches this NPI record on: Name

This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Inpatient Rehabilitation Quality CMS Care Compare

Quality measures, patient outcomes and conditions treated for Licking Memorial Hospital (CMS certification number 36T218), from CMS Care Compare.

Licking Memorial Hospital

Inpatient rehabilitation facility · Newark, OH

OwnershipNon-profit

CMS Certification Number36T218

Medicare-Certified SinceJanuary 1, 2013

Location1320 W Main StNewark, OH 43055

Phone(220) 564-1863

Rehabilitation unit within a hospital

Conditions Treated

Medicare patient stays by the condition that brought the patient to rehabilitation

Stroke

patient stays

Hip or femur fracture

patient stays

Hip or knee replacement, amputation or other bone or joint condition

patient stays

All other conditions

Less than 11 patient stays

Brain disease or condition (non-traumatic)

Less than 11 patient stays

Nervous system disorder (excluding stroke)

Less than 11 patient stays

Spinal cord disease or condition (non-traumatic)

Less than 11 patient stays

Counts reflect Medicare patient stays reported to CMS. CMS reports counts under 11 as "Less than 11" to protect patient privacy.

Quality Measures

Medications reviewed, with follow-up when issues were found

Drug Regimen Review · 128 patient stays

100%

Patients given a current list of their medications at discharge

Transfer of Health Information to the Patient · 86 patient stays

100%

Medication list sent to the next provider at discharge

Transfer of Health Information to the Provider · 42 patient stays

97.6%

Patients who meet or exceed the self-care ability expected for their condition at discharge

Discharge Self-Care Score · 118 patient stays

78%

Patients who meet or exceed the mobility expected for their condition at discharge

Discharge Mobility Score · 118 patient stays

36.4%

Patients who meet or exceed the overall function expected at discharge

Discharge Function Score · 118 patient stays

39.83%

Patients who experienced one or more falls with major injury during their stay

128 patient stays · Lower rates are better for this measure.

Patients with pressure ulcers or injuries that are new or worsened

Risk-adjusted rate · 128 patient stays · observed rate 0.8% · Lower rates are better for this measure.

1.1%

Healthcare workers up to date on COVID-19 vaccination

465 healthcare workers

2.4%

Measures are reported under the CMS Inpatient Rehabilitation Facility Quality Reporting Program. Reporting periods vary by measure (October 2021 to December 2023). Measures without current CMS data are not shown.

Discharge, Readmission & Medicare Spending

Patients discharged to home or the community

92 of 125 patient stays · observed rate 73.6%

66.52%

risk-standardized rate

No Different than the National Rate

Potentially preventable readmissions within 30 days after discharge

4 readmissions of 118 patient stays · observed rate 3.39% · Lower rates are better for this measure.

8.41%

risk-standardized rate

No Different than the National Rate

Potentially preventable readmissions during the rehabilitation stay

2 readmissions of 130 patient stays · observed rate 1.54% · Lower rates are better for this measure.

4.29%

risk-standardized rate

No Different than the National Rate

Medicare spending per episode of care

1.00 = national average per episode of care · based on 132 episodes

0.77

spending ratio

Risk-standardized rates account for differences in patient condition mix. Comparison labels are assigned by CMS.

Other Providers at the Same Location NPPES 20

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

DR. MATTHEW CRAIG BROMLEY D.O.

Emergency Medicine