MEDCENTRAL HEALTH SYSTEM (NPI# 1578615100) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578615100 |
| 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 | 273Y00000X | Rehabilitation Unit | OH | Hospital Units |
| 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 |
| 1487706016 | Medcentral Health System | General Acute Care Hospital | 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 |
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| 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 | 273Y00000X |
| Grouping | Hospital Units |
| Classification | Rehabilitation Unit |
| In general, a distinct unit of a general acute care hospital that provides care encompassing a comprehensive array of restoration services for the disabled and all support services necessary to help patients attain their maximum functional capacity. Source: AHA Annual Survey p. A10 1996 AHA Guide. For Medicare, a distinct part of a general acute care hospital providing inpatient rehabilitation services that meets the following requirements. Rehabilitation Units have in effect a preadmission screening procedure under which each prospective patient’s condition and medical history are reviewed to determine whether the patient is likely to benefit significantly from an intensive inpatient program or assessment; ensure that the patients receive close medical supervision and furnish, through the use of qualified personnel, rehabilitation nursing, physical therapy and occupational therapy, plus, as needed, speech therapy, social services or psychological services and orthotic and prosthetic services; have a plan of treatment for each inpatient that is established, reviewed, and revised as needed by a physician in consultation with other professional personnel who provide services to the patient; use a coordinated multidisciplinary team approach in the rehabilitation of each inpatient, as documented by periodic clinical entries made in the patient’s medical record to note the patient's status in relationship to goal attainment, and that team conferences are held at least every two weeks to determine the appropriateness of treatment; have a director of rehabilitation who provides services to the unit and its inpatients for at least 20 hours a week, is a doctor of medicine or osteopathy, is licensed under State law to practice medicine or surgery, and has had, after completing a one-year hospital internship at least two years of training or experience in the medical management of inpatients requiring rehabilitation services. |
| Notes: Source: Code of Federal Regulations #42, Section 412.29. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700250248 | Womack Army Medical Center | Rehabilitation Unit | 215 Ice Ave, 100, Dayton, OH 45402 | 2015-11-20 |
| 1902957335 | Kathiet Greene, Md, Inc | Rehabilitation Unit | 30575 Euclid Ave, Wickliffe, OH 44092-1037 | 2007-01-14 |
| 1376641068 | Edwin Shaw Rehab, LLC | Rehabilitation Unit | 330 Broadway Street East, Cuyahoga Falls, OH 44221 | 2006-09-20 |
| 1649298100 | Dayton Osteopathic Hospital | Rehabilitation Unit | 405 W Grand Avenue, Dayton, OH 45405-4720 | 2006-07-17 |
| 1740222009 | Aultman Hospital | Rehabilitation Unit | 2821 Woodlawn Ave Nw, Canton, OH 44708-1423 | 2006-06-12 |
| 1396346946 | Kettering Medical Center | Rehabilitation Unit | 4000 Miamisburg Centerville Rd, Miamisburg, OH 45342-7615 | 2020-11-02 |
| 1083236921 | Knox Community Hospital | Rehabilitation Unit | 1330 Coshocton Ave, Mount Vernon, OH 43050 | 2020-05-14 |
| 1346896875 | Fort Hamilton Hospital | Rehabilitation Unit | 630 Eaton Ave, Hamilton, OH 45013 | 2019-08-12 |
| 1306312921 | The Toledo Hospital | Rehabilitation Unit | 5200 Harroun Rd, Sylvania, OH 43560-2196 | 2018-10-22 |
| 1245789981 | Mercy Health - Anderson Hospital, LLC | Rehabilitation Unit | 7500 State Rd, Cincinnati, OH 45255-2439 | 2016-09-22 |
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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.