FIRELANDS REGIONAL MEDICAL CENTER (NPI# 1083974489) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083974489 |
| Entity Type | Organization |
| Organization Name | FIRELANDS REGIONAL MEDICAL CENTER |
| Other Organization Name | FIRELANDS COUNSELING |
| Practice Address |
1925 Hayes Ave Sandusky OH 44870-4737 |
| Practice Telephone | 4195575177 |
| Practice Fax Number | 4195575169 |
| Mailing Telephone | 4195575177 |
| Mailing Fax Number | 4195575169 |
| Enumeration Date | 2012-05-21 |
| Last Update Date | 2019-09-24 |
| Authorized Official Name | MR. DANIEL J MONCHER (EXECUTIVE VICE PRESIDENT & CFO) |
| Authorized Official Telephone | 4195577793 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
OH | Ambulatory Health Care Facilities | |
| Y | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
OH | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 2916787 | 05 |
| Other Name | Type Code |
|---|---|
| Firelands Counseling | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386878304 | Firelands Regional Medical Center | Clinic/Center | 6150 Park Square Dr Ste B, Lorain, OH 44053-4153 | 2009-05-05 |
| 1376780379 | Firelands Regional Medical Center | General Acute Care Hospital | 290 Progress Drive, Suite A, Bellevue, OH 44811 | 2009-01-13 |
| 1154372381 | Firelands Regional Medical Center | Clinic/Center | 76 Ashwood Dr, Tiffin, OH 44883-1908 | 2006-05-12 |
| 1992756118 | Firelands Regional Medical Center | Clinic/Center | 292 Benedict Ave, Norwalk, OH 44857-2374 | 2006-05-12 |
| 1629028600 | Firelands Regional Medical Center | Clinic/Center | 1925 Hayes Ave, Sandusky, OH 44870-4793 | 2006-05-11 |
| 1992779698 | Firelands Regional Medical Center | General Acute Care Hospital | 904 Pierce St, Sandusky, OH 44870-4600 | 2006-02-17 |
| 1215468624 | Firelands Regional Medical Center | General Acute Care Hospital | 1925 Hayes Ave, Sandusky, OH 44870-4737 | 2017-03-27 |
| 1831567742 | Firelands Regional Medical Center | Case Management | 675 Bartson Rd, Fremont, OH 43420-9672 | 2015-09-09 |
| 1912393414 | Firelands Regional Medical Center | Community/Behavioral Health | 335 Buckeye Blvd, Port Clinton, OH 43452-1423 | 2015-04-10 |
| 1891135661 | Firelands Regional Medical Center | Community/Behavioral Health | 76 Ashwood Dr, Tiffin, OH 44883-1908 | 2013-06-26 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | FIRELANDS REGIONAL MEDICAL CENTER | 1111 Hayes Ave, Sandusky, OH 44870-3335 |
| Street Address |
1925 HAYES AVE |
| City | SANDUSKY |
| State | OH |
| Zip Code | 44870-4737 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629028600 | Firelands Regional Medical Center | Clinic/Center | 1925 Hayes Ave, Sandusky, OH 44870-4793 | 2006-05-11 |
| 1689289100 | Jacklyn Bertsch | Counselor | 1925 Hayes Ave, Sandusky, OH 44870-4737 | 2020-09-11 |
| 1013520485 | Gavin Lee Winters | Counselor | 1925 Hayes Ave, Sandusky, OH 44870-4737 | 2020-08-26 |
| 1720699051 | Molly Teegarden | Student in an Organized Health Care Education/Training Program | 1925 Hayes Ave, Sandusky, OH 44870-4737 | 2020-08-11 |
| 1528686581 | Susan Shamhart | Case Manager/Care Coordinator | 1925 Hayes Ave, Sandusky, OH 44870-4737 | 2020-07-07 |
| 1558989533 | Cheryl Dianne Schraidt | Case Manager/Care Coordinator | 1925 Hayes Ave, Sandusky, OH 44870-4737 | 2020-07-07 |
| 1639795016 | Elyse Fox | Case Manager/Care Coordinator | 1925 Hayes Ave, Sandusky, OH 44870-4737 | 2020-06-22 |
| 1689290314 | Jared R. Macdonald | Case Manager/Care Coordinator | 1925 Hayes Ave, Sandusky, OH 44870-4737 | 2020-06-18 |
| 1124643465 | Diane Moyer | Case Manager/Care Coordinator | 1925 Hayes Ave, Sandusky, OH 44870-4737 | 2020-06-12 |
| 1104441393 | Vincent Allen Nimrichter | Rehabilitation Counselor | 1925 Hayes Ave, Sandusky, OH 44870-4737 | 2020-06-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477154094 | Patricia Ann Barton | Non-emergency Medical Transport (VAN) | 622 Clinton St, Sandusky, OH 44870 | 2020-11-02 |
| 1154802080 | Kathryn Nicole Fisher | Counselor | 1975 Hayes Avenue, Sandusky, OH 44870 | 2018-08-28 |
| 1245727551 | Frank Lynn Fox Jr. | Audiologist | 1522 E Perkins Ave, Sandusky, OH 44870 | 2018-04-23 |
| 1689187338 | Marc Christian Lowe | Case Manager/Care Coordinator | 206 Brandon Blvd, Sandusky, OH 44870 | 2017-11-15 |
| 1043740079 | Charlene Jeanette Adams | Counselor | 1518 Pearl Street, Sandusky, OH 44870 | 2017-06-13 |
| 1386194884 | Max King I | Counselor | 912 Sycamore Line Apt.3d, Sandusky, OH 44870 | 2016-10-07 |
| 1811349475 | Dannon C Smith | Nurse Practitioner | 266 E Perkins Aveneue, Sandusky, OH 44870 | 2016-07-07 |
| 1053774810 | Rachel Lynn Holbrook | Nurse Practitioner | 266 E Perkins Ave, Sandusky, OH 44870 | 2016-03-30 |
| 1700246295 | Caren Westbrooks | Home Health Aide | 168 W. Shoreway Drive, Sandusky, OH 44870 | 2016-02-26 |
| 1679962260 | Academy of Arts and Sciences | Local Education Agency (LEA) | 328 E. Monroe Street, Sandusky, OH 44870 | 2015-01-20 |
| Find all providers in zip 44870 | ||||
| Taxonomy Code | 261QR0405X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation, Substance Use Disorder |
| Definition to come... |
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|---|---|---|---|---|
| 1043795834 | Recovery Institute of Ohio LLC | Clinic/Center | 1019 Pierce St, Sandusky, OH 44870-4633 | 2018-09-27 |
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| 1689271827 | Chillicothe Acute Care Clinic, Inc. | Clinic/Center | 5555 Airport Hwy Ste 132, Toledo, OH 43615-7380 | 2020-10-01 |
| 1649894262 | Workit Health (oh) LLC | Clinic/Center | 5836 Del Ln, Waterville, OH 43566-9484 | 2020-05-29 |
| 1205455508 | Sunrise Treatment Center - Piqua | Clinic/Center | 1130 Garbry Rd, Piqua, OH 45356-8217 | 2020-04-16 |
| 1043863384 | Team Recovery Ohio, LLC | Clinic/Center | 1618 W Sylvania Ave, Toledo, OH 43612-1589 | 2019-07-16 |
| 1568926376 | Square One Health LLC | Clinic/Center | 620 W 44th St, Ashtabula, OH 44004-6812 | 2019-01-25 |
| 1700357829 | Lovel Henderson Jr | Clinic/Center | 6600 Lexington Ave, Cleveland, OH 44103 | 2018-12-16 |
| 1669942934 | Baymark Health Services of Ohio | Clinic/Center | 833 E Broad St Unit 1, Elyria, OH 44035-6557 | 2018-11-29 |
| 1841760113 | Baymark Health Services of Ohio | Clinic/Center | 36001 Euclid Ave Ste B1, Willoughby, OH 44094-4643 | 2018-11-29 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.