MEDCENTRAL HEALTH SYSTEM (NPI# 1790837235) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790837235 |
| Entity Type | Organization |
| Organization Name | MEDCENTRAL HEALTH SYSTEM |
| Practice Address |
335 Glessner Ave Mansfield OH 44903-2269 |
| Mailing Address |
3430 Ohiohealth Parkway 3rd Floor North Columbus OH 43202 |
| Practice Telephone | 4195268000 |
| Practice Fax Number | 4195268834 |
| Mailing Telephone | 6145444161 |
| Mailing Fax Number | 6145444470 |
| Enumeration Date | 2007-01-17 |
| Last Update Date | 2020-04-23 |
| Authorized Official Name | MR. MICHAEL P BROWNING (CFO, OHIOHEALTH) |
| Authorized Official Telephone | 1454444161 |
| Is Organization Subpart | Y |
| Parent Organization Name | OHIO HEALTH CORPORATION |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 282N00000X | General Acute Care Hospital | OH | Hospitals | |
| Y | 282N00000X | General Acute Care Hospital | Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 5489663 | 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 |
| 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 |
| 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 | 282N00000X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598196206 | Ebd Bemc Burleson, LLC | General Acute Care Hospital | 1776 N. U.S. 287, Suite 100, Mansfield, TX 76063 | 2013-12-05 |
| 1689629941 | Methodist Hospitals of Dallas | General Acute Care Hospital | 2700 E Broad St, Mansfield, TX 76063-5899 | 2006-05-24 |
| 1467455154 | Desoto Hospital Association | General Acute Care Hospital | 207 Jefferson St, Mansfield, LA 71052-2603 | 2005-05-27 |
| 1396220604 | Tmc Mansfield, LLC | General Acute Care Hospital | 1710 Highway 287 N, Mansfield, TX 76063-7630 | 2018-10-02 |
| 1679730667 | Desoto Hospital Association | General Acute Care Hospital | 207 Jefferson St, Mansfield, LA 71052-2603 | 2008-05-19 |
| 1962488411 | Scci Hospital Mansfield Inc | General Acute Care Hospital | 335 Glessner Ave, 5th Floor, Mansfield, OH 44903 | 2005-12-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558896431 | Bridgeport Hospital | General Acute Care Hospital | 6150 Stumph Rd Apt 204, Parma, OH 44130-1872 | 2017-04-27 |
| 1922547496 | Stephen Grater | General Acute Care Hospital | 970 E Washington St Ste 3a, Medina, OH 44256-2181 | 2017-02-17 |
| 1447797329 | Therese Benz | General Acute Care Hospital | 96000 Euclid Ave., Willoughby, OH 44094 | 2017-01-30 |
| 1467997072 | Beverly Jean Cook I | General Acute Care Hospital | 610 Sanford Ave, Akron, OH 44305-2641 | 2017-01-05 |
| 1154865376 | Mercy Health Youngstown, LLC | General Acute Care Hospital | 627 Eastland Ave Se Ste 102, Warren, OH 44484-4501 | 2016-12-07 |
| 1124577705 | The Christ Hospital | General Acute Care Hospital | 502 Walnut Ln, Mason, OH 45040-2018 | 2016-09-24 |
| 1790233195 | Kettering Medical Center | General Acute Care Hospital | 524 Grants Trl, Centerville, OH 45459-3120 | 2016-09-14 |
| 1326497355 | John Wallin | General Acute Care Hospital | 15797 Madison Rd, Middlefield, OH 44062-8408 | 2016-06-09 |
| 1649628595 | Gina John | General Acute Care Hospital | 14205 Liberty Ave, Cleveland, OH 44135-1461 | 2016-06-01 |
| 1033571351 | University of Pittsburgh Medical Center | General Acute Care Hospital | 15559 Pecan Oval, Middleburg Heights, OH 44130-3522 | 2016-03-25 |
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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.