Blanchard Valley Regional Health Center
Organization Active NPI Psychiatric Hospital Unit · Findlay, OH
NPI 1023193992 · NPPES record last updated Jan 25, 2023
Key facts
- NPI
- 1023193992
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Psychiatric Hospital Unit 273R00000X
- License
- PPH 04-2423 (OH)
- Legal business name
- BLANCHARD VALLEY REGIONAL HEALTH CENTER
- Practice address
- 1900 South Main St
Findlay, OH 45840-1214 - Phone
- (419) 423-5262
- Fax
- (419) 423-5550
- NPI assigned
- Oct 26, 2006
- Organization subpart
- No
Authorized official
- Name
- Dave Cytlak
- Title
- VP Finance
- Phone
- (419) 423-5497
Owners & managing parties with NPI records 3
-
Frank A Cosiano, M.D.
-
William E Hopkins, M.D.
Other NPIs with the same Medicare PAC ID 7
Corporate family (same tax ID) 7
Related certifications (CCN) 1
Facilities with the same owner 6
Practitioners 88
-
Emile G Abouhassan, CRNA
-
Samuel Agubosim, MD
-
Nadia Hashim Ahmed, M.D.
-
Jennifer Badia-Ranker, ACNS-BC
-
Patricia A Bakies, PMHNP
-
John W Bremyer, DPM
-
Mary Beth Brown, C.N.P.
-
Joanne L Burke, CRNA
-
Mark A Caldwell, CRNA
-
Tyler J Caldwell, CRNA
-
Apoorva Chawla, M.D.
-
Susan U Coach, CRNA
-
Sharon K Cole, M.D.
-
Deborah L Comer, CRNA
-
Erich Karl Deason, CRNA
-
Mary Deeter, CRNA
-
Edgar Ray Delos Santos, M.D.
-
Ashley Deats Dorkoskie, CRNA
-
Carol Marie Ebersole, CNP
-
Andrew Michael Ebright, CRNA
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OH
Hospital certification: CCN 36S095
- Legal name
- BLANCHARD VALLEY REGIONAL HEALTH CENTER
- Doing business as
- BLANCHARD VALLEY HOSPITAL
- Organization structure
- Corporation · Non-profit
- Incorporated
- Jul 6, 1982 in OH
- Enrollment address
- 1900 S Main St
Findlay, OH 45840-1214 - Hospital subgroups
- Psychiatric
All disclosed owners & managing parties 18
| Name | Role | Since | Share |
|---|---|---|---|
| Frank Cosiano |
Corporate Director |
Jul 1, 2015 | |
| Richard Michael Polder |
Corporate Director |
Aug 30, 2012 | |
| Dan Kennard |
Corporate Director |
Jul 1, 2021 | |
| Blanchard Valley Health System |
5% Or Greater Direct Ownership Interest | Jan 27, 1983 | 100% |
| Michael Brough |
Corporate Director |
Jul 1, 2021 | |
| Elizabeth Kroetz |
Corporate Director |
Jul 1, 2021 | |
| Ginger Jones |
Corporate Director |
May 1, 2015 | |
| Jeffery Shrader |
Corporate Director |
Jul 1, 2021 | |
| Adele Webb |
Corporate Director |
Jan 1, 2018 | |
| Donald Malarky |
Corporate Director |
Jul 1, 2023 | |
| Kimberly K Stumpp |
Corporate Director |
Aug 30, 2012 | |
| Annette Edgington |
Corporate Director |
Jul 1, 2023 | |
| Myron Lewis |
Corporate Officer |
Jan 1, 2021 | |
| Corporate Director |
Jan 1, 2021 | ||
| W-2 Managing Employee |
Jan 1, 2021 | ||
| Richard States |
Corporate Director |
Oct 31, 2019 | |
| James PF Dowling |
Corporate Director |
Jan 1, 2018 | |
| David Cytlak |
Corporate Officer |
Jan 1, 2010 | |
| W-2 Managing Employee |
Jan 1, 2007 | ||
| William Hopkins |
Corporate Director |
Jul 1, 2022 | |
| John Reineke |
Corporate Director |
Jul 1, 2018 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20071023000003 | OH | Part a Provider - Hospital | 3971404187 | Practice locations: Findlay, OH |
National Provider Directory
- Tax ID family
- Sherri J Tenpenny
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric Hospital Unit | 273R00000X | PPH 04-2423 | OH | Yes |
Addresses
Primary practice location
1900 South Main St
Findlay, OH 45840-1214
Mailing address
1900 South Main St
Findlay, OH 45840-1214
Phone (419) 423-5262
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0759666 | Medicaid | OH |
Other names
- Blanchard Valley Hospital
Other providers in Findlay, OH
- Blanchard Valley Medical Practice LLC
- Blanchard Valley Pathology & Lab Inc
- Blanchard Valley Pediatric Dentistry, Kyle D. Amspaugh, DDS, Ms
- Blanchard Valley Pediatrics, Inc.
- Blanchard Valley Regional Cancer Center LLC
- Blanchard Valley Regional Health Center
- Blanchard Valley Regional Health Center
- Blanchard Valley Regional Health Center
- Blanchard Valley Regional Health Center
- Blanchard Valley Regional Health Center
All providers in Findlay, OH · Psychiatric Hospital Unit in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 25, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.