FIRELANDS REGIONAL MEDICAL CENTER (NPI# 1639460892) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639460892 |
| Entity Type | Organization |
| Organization Name | FIRELANDS REGIONAL MEDICAL CENTER |
| Other Organization Name | FIRELANDS COUSELING AND RECOVERY SERVICES |
| Practice Address |
675 Bartson Road Fremont OH 43420 |
| Mailing Address |
1925 Hayes Ave Sandusky OH 44870-4737 |
| Practice Telephone | 4193325524 |
| Mailing Telephone | 4195575179 |
| Enumeration Date | 2011-04-22 |
| Last Update Date | 2011-04-22 |
| Authorized Official Name | MRS. MARSHA O MRUK (VICE PRESIDENT OF BEHAVIORAL HEALTH) |
| Authorized Official Telephone | 4195575177 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | C 0800389 | OH | Agencies |
| Other Name | Type Code |
|---|---|
| Firelands Couseling and Recovery Services | 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 |
675 BARTSON ROAD |
| City | FREMONT |
| State | OH |
| Zip Code | 43420 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205013596 | Cindy Sue Pinckley Wolph | Social Worker | 675 Bartson Road, Fremont, OH 43420 | 2008-01-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225596570 | Trisha D Hamm | Nurse Practitioner | Walk In Urgent Care, 2180 Sean Dr., #6b, Fremont, OH 43420 | 2019-03-06 |
| 1558886051 | Kortney Blair Potridge | Homemaker | 1718 Buckland Avenue, Fremont, OH 43420 | 2017-08-07 |
| 1699134015 | Gentle Caring Dentistry of Fremont Ohio | Dentist | 2430 Enterprise St, Fremont, OH 43420 | 2016-02-12 |
| 1033574587 | Alyssa Dickman | Physical Therapy Assistant | 1310 Chestnut St, Fremont, OH 43420 | 2015-12-29 |
| 1437566734 | Michael Allen Koebel | Registered Nurse | 1728 Oak Harbor Rd, Fremont, OH 43420 | 2014-07-18 |
| 1598183774 | Harry D. Burger | Dentist | 567 Bartson Rd., Fremont, OH 43420 | 2014-04-03 |
| 1750706636 | Lori Fisher | Registered Nurse | 500 W. State St., Suite A, Fremont, OH 43420 | 2014-02-28 |
| 1699113001 | Cora Renea Minich | Massage Therapist | 510 Court Street, Fremont, OH 43420 | 2013-06-07 |
| 1477850071 | Parschauer Eye Center Inc | Eyewear Supplier (Equipment, not the service) | 126 S. Front St, Fremont, OH 43420 | 2011-02-16 |
| 1316260839 | Marla D Carlisle | Physician Assistant | 605 Third Avenue, Suite B, Fremont, OH 43420 | 2010-03-11 |
| Find all providers in zip 43420 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578125076 | The Alliance for Community Wellness | Community/Behavioral Health | 39155 Liberty St Ste F600, Fremont, CA 94538-1513 | 2019-07-03 |
| 1346785722 | Full Potential. Inc | Community/Behavioral Health | 700 W Toledo St, P.o 187, Fremont, IN 46737-7606 | 2016-12-21 |
| 1386195337 | City of Fremont Youth and Family Services | Community/Behavioral Health | 37141 2nd St, Fremont, CA 94536-2835 | 2016-10-14 |
| 1487108205 | Abode Services | Community/Behavioral Health | 4075 Papazian Way Ste 102, Fremont, CA 94538-4380 | 2016-08-10 |
| 1114386414 | Carnales Unidos Reformando Adictos | Community/Behavioral Health | 37471 Glenmoor Dr, Fremont, CA 94536-5731 | 2016-02-15 |
| 1295104818 | Carnales Unidos Reformando Adictos | Community/Behavioral Health | 37469 Glenmoor Dr, 37471 Glenmoor Drive, Fremont, CA 94536-5731 | 2015-09-24 |
| 1801277223 | City of Fremont | Community/Behavioral Health | 41717 Palm Ave, Fremont, CA 94539-4722 | 2015-06-11 |
| 1558742973 | City of Fremont | Community/Behavioral Health | 37944 Farwell Dr, Fremont, CA 94536-7008 | 2015-06-11 |
| 1194106518 | City of Fremont | Community/Behavioral Health | 41365 Chapel Way, Fremont, CA 94538-4202 | 2015-06-11 |
| 1023499449 | City of Fremont | Community/Behavioral Health | 41399 Chapel Way, Fremont, CA 94538-4202 | 2015-06-11 |
| Find all providers in FREMONT | ||||
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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.