FIRELANDS REGIONAL MEDICAL CENTER (NPI# 1154372381) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154372381 |
| Entity Type | Organization |
| Organization Name | FIRELANDS REGIONAL MEDICAL CENTER |
| Other Organization Name | FIRELANDS COUNSELING & RECOVERY SERVICES |
| Practice Address |
76 Ashwood Dr Tiffin OH 44883-1908 |
| Practice Telephone | 4194489440 |
| Practice Fax Number | 4194485155 |
| Mailing Telephone | 4194489440 |
| Mailing Fax Number | 4194485155 |
| Enumeration Date | 2006-05-12 |
| 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 | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
Ambulatory Health Care Facilities | ||
| N | 261QM0855X |
Clinic/Center Specialization: Adolescent and Children Mental Health |
Ambulatory Health Care Facilities | ||
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 3293725 | 05 | |
| OH | MACSIS UPI | 6830 | 01 |
| Other Name | Type Code |
|---|---|
| Firelands Counseling & Recovery Services | Doing Business As Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 122 W Center St, Fostoria, OH 448302201 | 4194350204 | 4194369846 |
| 675 Bartson Rd, Fremont, OH 434209672 | 4193325524 | 4193327581 |
| 97 Houpt Dr Rm W, Upper Sandusky, OH 433518904 | 4192944388 | 4192945788 |
| 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 |
| 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 |
| 1083974489 | Firelands Regional Medical Center | Clinic/Center | 1925 Hayes Ave, Sandusky, OH 44870-4737 | 2012-05-21 |
| 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 |
76 ASHWOOD DR |
| City | TIFFIN |
| State | OH |
| Zip Code | 44883-1908 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295346799 | Elyssa Lynn Theis | Case Manager/Care Coordinator | 76 Ashwood Dr, Tiffin, OH 44883-1908 | 2020-08-10 |
| 1629686589 | Savanna Lynn Frumkin | Counselor | 76 Ashwood Dr, Tiffin, OH 44883-1908 | 2020-07-16 |
| 1710505045 | Michael Mason Jr. | Specialist | 76 Ashwood Dr, Tiffin, OH 44883-1908 | 2020-07-13 |
| 1538794904 | Alexis Lee Glick | Case Manager/Care Coordinator | 76 Ashwood Dr, Tiffin, OH 44883-1908 | 2020-03-06 |
| 1891339800 | Morgan Spradlin | Student in an Organized Health Care Education/Training Program | 76 Ashwood Dr, Tiffin, OH 44883-1908 | 2019-11-01 |
| 1760032601 | Alyssa Jenn Perkins | Student in an Organized Health Care Education/Training Program | 76 Ashwood Dr, Tiffin, OH 44883-1908 | 2019-09-12 |
| 1407405087 | Stephanie Julia Cluck | Case Manager/Care Coordinator | 76 Ashwood Dr, Tiffin, OH 44883-1908 | 2019-09-06 |
| 1205484672 | Mariah Bowser-jones | Student in an Organized Health Care Education/Training Program | 76 Ashwood Dr, Tiffin, OH 44883-1908 | 2019-08-29 |
| 1215404272 | Mackenzie Hall | Social Worker | 76 Ashwood Dr, Tiffin, OH 44883-1908 | 2018-10-29 |
| 1982170361 | Holly Marie Slaybaugh | Counselor | 76 Ashwood Dr, Tiffin, OH 44883-1908 | 2018-10-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487255758 | Aaron Michael Konkle | Pharmacist | 2801 State Route 18, Tiffin, OH 44883 | 2020-11-04 |
| 1487286159 | Sandra Natole | Counselor | 200 St Francis Ave, Tiffin, OH 44883 | 2020-02-10 |
| 1083260988 | Trilogy Healthcare of Tiffin, LLC | Skilled Nursing Facility | 410 Fair Lane, Tiffin, OH 44883 | 2019-08-15 |
| 1801440250 | Kenneth Oswald | Counselor | 3055 S Sr 100, Tiffin, OH 44883 | 2019-07-24 |
| 1932764107 | Cuadra Pediatric Dentistry, LLC | Dentist | Cuadra Pediatric Dentistry, LLC, 486 Wentz Street, Tiffin, OH 44883 | 2019-05-03 |
| 1578033114 | Morgan Leann Fultz | Student in an Organized Health Care Education/Training Program | 310 East Market St, Tiffin, OH 44883 | 2018-11-27 |
| 1568989630 | Alicia Taylor Frank | Speech-Language Pathologist | 797 E. Clinton Tr 201, Tiffin, OH 44883 | 2017-08-29 |
| 1861938920 | Devin Erika Fry | Physical Therapy Assistant | 2550 Oh-100, Tiffin, OH 44883 | 2017-01-13 |
| 1407392608 | Erica Hoffman | Occupational Therapy Assistant | 2550 Oh 100, Tiffin, OH 44883 | 2017-01-11 |
| 1164973509 | Spencers Home Modifications | Contractor | 8 High Pointe Court, Tiffin, OH 44883 | 2016-10-20 |
| Find all providers in zip 44883 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
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| 1245838630 | Midwest Counseling Centers of Ohio | Clinic/Center | 8940 Kingsridge Dr Ste 106, Dayton, OH 45458-1632 | 2020-10-16 |
| 1467066597 | Psychworks LLC | Clinic/Center | 2630 Keysport Ln, Cincinnati, OH 45231-1146 | 2020-09-05 |
| 1881208189 | Child Anxiety Center | Clinic/Center | 4555 Lake Forest Dr Ste 650, Blue Ash, OH 45242-3789 | 2020-09-03 |
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| 1154932473 | Phoenix Counseling and Wellness, LLC | Clinic/Center | 35104 Euclid Ave Ste 306, Willoughby, OH 44094-4566 | 2020-08-11 |
| 1205446754 | Right Direction Behavioral Services | Clinic/Center | 17325 Euclid Ave Ste 2013, Cleveland, OH 44112-1250 | 2020-08-07 |
| 1003424573 | Purposed Journey Counseling LLC | Clinic/Center | 11578 Norbourne Dr, Cincinnati, OH 45240-2152 | 2020-07-21 |
| 1407474737 | Life Cycles Development Center LLC | Clinic/Center | 1507 Copley Rd, Akron, OH 44320-2501 | 2020-07-13 |
| Find all providers with the same taxonomy | ||||
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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.