MEDCENTRAL HEALTH SYSTEM (NPI# 1629696802) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629696802 |
| Entity Type | Organization |
| Organization Name | MEDCENTRAL HEALTH SYSTEM |
| Other Organization Name | MANSFIELD RETAIL PHARMACY |
| Practice Address |
335 Glessner Ave Mansfield OH 44903-2269 |
| Practice Telephone | 4195268572 |
| Enumeration Date | 2020-07-14 |
| Last Update Date | 2020-07-16 |
| Authorized Official Name | TINA ELDRIDGE (IS REGIONAL DIRECTOR) |
| Authorized Official Telephone | 4195268548 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 333600000X | Pharmacy | Suppliers |
| Other Name | Type Code |
|---|---|
| Mansfield Retail Pharmacy | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386796910 | Medcentral Health System | Medicare Defined Swing Bed Unit | 20 Morris Road, Shelby, OH 44875-0000 | 2007-01-16 |
| 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 |
| 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 | 44903-2269 |
| 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 |
| 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 |
| 1366004954 | Kelsey Nicole Wehr | Nurse Practitioner | 335 Glessner Ave, Mansfield, OH 44903-2269 | 2019-07-03 |
| 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 | 333600000X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: added definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124643200 | Dl Pharmacy | Pharmacy | 801 E Debbie Ln, Mansfield, TX 76063-3179 | 2020-06-14 |
| 1902454721 | Batts Drug Company Mansfield, LLC | Pharmacy | 4424 Highway 213, Mansfield, GA 30055-3211 | 2019-08-27 |
| 1578074985 | United Supermarkets LLC | Pharmacy | 3145 E Broad St, Mansfield, TX 76063 | 2017-10-12 |
| 1538529508 | Health-wise Pharmacy, Pllc | Pharmacy | 213 E Howard St, Mansfield, AR 72944-3411 | 2016-03-03 |
| 1538527569 | Ppg Store 1 LLC | Pharmacy | 607 Highway 71 E Ste B, Mansfield, AR 72944-3709 | 2016-02-04 |
| 1780977785 | Kroger Texas L P | Pharmacy | 3300 E Broad St, Mansfield, TX 76063-5629 | 2011-05-24 |
| 1215000781 | Brookshire Grocery Company | Pharmacy | 1117 Polk St, Attention Pharmacy Dept, Mansfield, LA 71052-2524 | 2006-11-15 |
| 1740353358 | Kroger Texas L P | Pharmacy | 3001 Matlock Rd, Mansfield, TX 76063-3302 | 2006-11-15 |
| 1104916188 | Big Y Foods Inc | Pharmacy | 141b Storrs Road, Mansfield, CT 06250 | 2006-10-13 |
| 1952335663 | The Kroger Co | Pharmacy | 1060 Ashland Rd, Mansfield, OH 44905-2157 | 2006-07-10 |
| Find all providers in MANSFIELD | ||||
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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.