MEDCENTRAL HEALTH SYSTEM (NPI# 1487706016) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487706016 |
| Entity Type | Organization |
| Organization Name | MEDCENTRAL HEALTH SYSTEM |
| Practice Address |
335 Glessner Ave Mansfield OH 44903-2265 |
| Mailing Address |
3430 Ohiohealth Parkway 3rd Floor North Columbus OH 43202 |
| Practice Telephone | 4195268000 |
| Mailing Telephone | 6145444125 |
| Enumeration Date | 2007-01-16 |
| Last Update Date | 2020-04-23 |
| Authorized Official Name | MR. MICHAEL P BROWNING (CFO, OHIOHEALTH) |
| Authorized Official Telephone | 6145444161 |
| Is Organization Subpart | Y |
| Parent Organization Name | OHIO HEALTH CORPORATION |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282NC0060X |
General Acute Care Hospital Specialization: Critical Access |
Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 2529642 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386796910 | Medcentral Health System | Medicare Defined Swing Bed Unit | 20 Morris Road, Shelby, OH 44875-0000 | 2007-01-16 |
| 1629696802 | Medcentral Health System | Pharmacy | 335 Glessner Ave, Mansfield, OH 44903-2269 | 2020-07-14 |
| 1962888016 | Medcentral Health System | Clinical Medical Laboratory | 335 Glessner Avenue, Mansfield, OH 44903-2269 | 2015-07-30 |
| 1265785513 | Medcentral Health System | General Acute Care Hospital | 1820 E Mansfield St, Bucyrus, OH 44820-2018 | 2012-10-24 |
| 1902159924 | Medcentral Health System | General Acute Care Hospital | 1820 E Mansfield St, Bucyrus, OH 44820-2018 | 2012-10-16 |
| 1790837235 | Medcentral Health System | General Acute Care Hospital | 335 Glessner Ave, Mansfield, OH 44903-2269 | 2007-01-17 |
| 1477605830 | Medcentral Health System | Durable Medical Equipment & Medical Supplies | 335 Glessner Ave, Mansfield, OH 44903-2265 | 2007-01-17 |
| 1780736405 | Medcentral Health System | Durable Medical Equipment & Medical Supplies | 335 Glessner Ave, Mansfield, OH 44903-2265 | 2007-01-16 |
| 1669524294 | Medcentral Health System | Psychiatric Unit | 335 Glessner Ave, Mansfield, OH 44903-2265 | 2007-01-16 |
| 1578615100 | Medcentral Health System | Rehabilitation Unit | 335 Glessner Ave, Mansfield, OH 44903-2265 | 2007-01-16 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Ohio Business Entities | MEDCENTRAL HEALTH SYSTEM | 335 Glessner Ave, Mansfield, OH 44903 |
| Street Address |
335 GLESSNER AVE |
| City | MANSFIELD |
| State | OH |
| Zip Code | 44903-2265 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942203153 | Jose Joaquin Norberto | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 335 Glessner Ave, Mansfield, OH 44903-2269 | 2005-05-23 |
| 1902404643 | Brian George | Pharmacist | 335 Glessner Ave, Mansfield, OH 44903-2269 | 2020-10-14 |
| 1407460165 | Andrea Joyce Lankester | Physician Assistant | 335 Glessner Ave, Mansfield, OH 44903-2269 | 2020-09-01 |
| 1780298422 | Garrett Brendan Stough | Nurse Anesthetist, Certified Registered | 335 Glessner Ave, Mansfield, OH 44903-2269 | 2020-09-01 |
| 1629696802 | Medcentral Health System | Pharmacy | 335 Glessner Ave, Mansfield, OH 44903-2269 | 2020-07-14 |
| 1982231775 | Deidra Carolina Momeyer | Nurse Practitioner | 335 Glessner Ave, Mansfield, OH 44903-2269 | 2020-03-24 |
| 1144857772 | Fabiana Patino | Nurse Practitioner | 335 Glessner Ave, Mansfield, OH 44903-2269 | 2020-03-24 |
| 1144868910 | Amanda Marie Mcmullen | Nurse Practitioner | 335 Glessner Ave, Mansfield, OH 44903-2269 | 2019-12-12 |
| 1144862566 | Marissa Catherine Lacey | Physician Assistant | 335 Glessner Ave, Mansfield, OH 44903-2269 | 2019-10-17 |
| 1891347258 | Kassandra Lee Robinson | Nurse Practitioner | 335 Glessner Ave, Mansfield, OH 44903-2269 | 2019-07-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710495304 | Meredith Remy | Specialist/Technologist | 864 St. Rt. 314 S, Mansfield, OH 44903 | 2018-01-17 |
| 1639695174 | Judd Mateo | Home Health Aide | 1027 Neil Circle N., Mansfield, OH 44903 | 2017-08-16 |
| 1942722517 | Leighana Nichole Smith | Licensed Practical Nurse | 1451 Lucas Rd., Mansfield, OH 44903 | 2017-07-14 |
| 1528481710 | Sarah Elizabeth Hoffman | Occupational Therapy Assistant | 1600 Crider Rd., Mansfield, OH 44903 | 2014-01-24 |
| 1881025195 | Erica Renee Hanley | Occupational Therapy Assistant | 1600 Crider Road, Mansfield, OH 44903 | 2013-12-12 |
| 1164768917 | Colette Elaine Germann | Licensed Practical Nurse | 695 Satinwood N Cr, Mansfield, OH 44903 | 2012-12-26 |
| 1386996577 | Nicky Lynn Cole | Home Health Aide | 135 Columbia Avenue, Mansfield, OH 44903 | 2012-10-11 |
| 1215217989 | Darein Lee Wilson | Nurse's Aide | 175 Colonial Drive, Mansfield, OH 44903 | 2011-08-25 |
| 1205070802 | Simone Nannette Robinson | Licensed Practical Nurse | 576 Garfield Place, Mansfield, OH 44903 | 2009-04-27 |
| 1659518991 | Amelia Faye Johnson Grund | Nurse Practitioner | 336 Glessner Ave, Mob 2nd Fl, Mansfield, OH 44903 | 2009-01-08 |
| Find all providers in zip 44903 | ||||
| Taxonomy Code | 282NC0060X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| Specialization | Critical Access |
| Definition to come. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740580828 | Department of Veterans Affairs | General Acute Care Hospital | 23809 E Silsby Rd, Beachwood, OH 44122-1271 | 2010-10-23 |
| 1851605224 | Huron Hospital | General Acute Care Hospital | 34940 Spatterdock Lane, Solon, OH 44139 | 2010-07-28 |
| 1164757803 | Good Samaritan Hospital | General Acute Care Hospital | 235 Hillcrest Dr, Cincinnati, OH 45215-2609 | 2009-10-14 |
| 1659515435 | St. Vencint Charity Hospital | General Acute Care Hospital | 3420 Wooster Rd, Apartment # 620, Rocky River, OH 44116-4174 | 2009-04-24 |
| 1043431414 | The Ohio State University Medical Center | General Acute Care Hospital | 2234 Sandman Dr, Columbus, OH 43235-7148 | 2007-05-01 |
| 1699896407 | Chiarra Michelle Thompson | General Acute Care Hospital | 3242 Danbury Rd, Fairfield, OH 45014-5305 | 2007-04-02 |
| 1437244886 | Chris Anandajeya | General Acute Care Hospital | 17273 St Rt 104, Chillicothe, OH 45601 | 2006-10-03 |
| 1922079532 | H.b. Magruder Memorial Hospital | General Acute Care Hospital | 615 Fulton St, Port Clinton, OH 43452-2001 | 2006-01-31 |
| 1790775161 | Morrow County Hospital | General Acute Care Hospital | 651 W Marion Rd, Mount Gilead, OH 43338-1027 | 2005-10-26 |
| 1235135450 | Barnesville Hospital Association, Inc. | General Acute Care Hospital | 639 W. Main St., Barnesville, OH 43713-0309 | 2005-06-22 |
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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.