FIRELANDS REGIONAL MEDICAL CENTER (NPI# 1386878304) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1386878304 |
Entity Type | Organization |
Organization Name | FIRELANDS REGIONAL MEDICAL CENTER |
Other Organization Name | FIRELANDS COUNSELING & RECOVERY SERVICES |
Practice Address |
6150 Park Square Dr Ste B Lorain OH 44053-4153 |
Practice Telephone | 4409843882 |
Practice Fax Number | 4409843883 |
Mailing Telephone | 4409843882 |
Mailing Fax Number | 4409843883 |
Enumeration Date | 2009-05-05 |
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 |
Other Name | Type Code |
---|---|
Firelands Counseling & Recovery Services | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
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 |
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 |
6150 PARK SQUARE DR STE B |
City | LORAIN |
State | OH |
Zip Code | 44053-4153 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1174124184 | Katherine Stipp | Counselor | 6150 Park Square Dr Ste B, Lorain, OH 44053-4153 | 2020-11-05 |
1730794298 | Jimmy Jay Christian | Counselor | 6150 Park Square Dr Ste B, Lorain, OH 44053-4153 | 2020-09-11 |
1730704099 | Halle M Branscum | Counselor | 6150 Park Square Dr Ste B, Lorain, OH 44053-4153 | 2020-06-12 |
1972164168 | Maryssa Locher | Case Manager/Care Coordinator | 6150 Park Square Dr Ste B, Lorain, OH 44053-4153 | 2019-06-27 |
1902467756 | Thomas Lee Haynie | Counselor | 6150 Park Square Dr Ste B, Lorain, OH 44053-4153 | 2019-06-24 |
1457910788 | Mihkaya Danielle Best | Counselor | 6150 Park Square Dr Ste B, Lorain, OH 44053-4153 | 2019-06-11 |
1447816681 | Ann Marie Nagel | Case Manager/Care Coordinator | 6150 Park Square Dr Ste B, Lorain, OH 44053-4153 | 2019-05-14 |
1932694676 | Amy Bailey | Counselor | 6150 Park Square Dr Ste B, Lorain, OH 44053-4153 | 2018-06-26 |
1205348323 | Brandice Hunt | Case Manager/Care Coordinator | 6150 Park Square Dr Ste B, Lorain, OH 44053-4153 | 2017-10-30 |
1700332772 | Robert D Lapp | Counselor | 6150 Park Square Dr Ste B, Lorain, OH 44053-4153 | 2016-08-30 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1386242196 | Yokita Maria Thomas | Homemaker | 4818 Ashland Ave, Lordin, OH 44053 | 2020-10-14 |
1497353445 | Matthew George Simkovich | Homemaker | 4366 Jenee Dr, Lorain, OH 44053 | 2020-10-13 |
1881229979 | Christine Wilson | Physical Therapist | 5940 Oak Point Rd., Lorain, Lorain, OH 44053 | 2020-03-09 |
1912538760 | Barry Delaney Masin | Student in an Organized Health Care Education/Training Program | 2704 West Erie Avenue, Lorain, OH 44053 | 2020-01-30 |
1275171399 | Martina Beato | Social Worker | The Nord Center 6140 S. Broadway, Lorain, OH 44053 | 2019-12-19 |
1285279802 | Tivan LLC | Non-emergency Medical Transport (VAN) | 5821 Williamsburg Dr., Lorain, OH 44053 | 2019-11-07 |
1023650843 | Candace Taber | Case Manager/Care Coordinator | 6140 South Broadway, Lorain, OH 44053 | 2019-10-14 |
1265956098 | Phillip H Emerson | Social Worker | 1740 Cooper Foster Park Road East, Lorain, OH 44053 | 2017-08-02 |
1447796750 | Kafilat Idowu Kelani | Nurse Practitioner | 3700 Kolbe Rd, Lorain, Lorain, OH 44053 | 2017-01-10 |
1083075808 | Mark B Applegate | Counselor | 2115 West Park Drive, Lorain, OH 44053 | 2016-03-08 |
Find all providers in zip 44053 |
Taxonomy Code | 261QM0801X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Mental Health (Including Community Mental Health Center) |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1699034629 | The Nord Center | Clinic/Center | 6140 S Broadway, Lorain, OH 44053-3821 | 2012-05-11 |
1205135589 | The Nord Center | Clinic/Center | 6140 S Broadway, Lorain, OH 44053-3821 | 2011-03-25 |
1841268281 | The Nord Center | Clinic/Center | 6140 S Broadway, Lorain, OH 44053-3821 | 2006-03-10 |
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1952902405 | Cunningham Counseling and Consultation, LLC | Clinic/Center | 5986 Abbey Church Rd, Dublin, OH 43017-2541 | 2020-11-02 |
1386243939 | Tree of Life Healthcare LLC | Clinic/Center | 3043 Kiwatha Rd, Youngstown, OH 44511-3003 | 2020-10-23 |
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 |
1104439397 | Pathway To Serenity | Clinic/Center | 115 W Front St Unit 8, Perrysburg, OH 43551-1473 | 2020-08-26 |
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 |
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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.