NPIMap

Organization Active NPI

Blanchard Valley Regional Health Center

Doing business as Blanchard Valley Hospital

  • Psychiatric Hospital Unit
  • Findlay, OH
National Provider Identifier
1023193992
Registry record updated Jan 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric Hospital UnitTaxonomy code 273R00000X
License
PPH 04-2423 Issued in OH
Legal business name
BLANCHARD VALLEY REGIONAL HEALTH CENTER
Doing business as
Blanchard Valley Hospital
Practice address
1900 South Main St
Findlay, OH 45840-1214
Phone
(419) 423-5262
Fax
(419) 423-5550
NPI assigned
Oct 26, 2006
Last updated
Jan 25, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dave Cytlak
Title
VP Finance
Phone
(419) 423-5497

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Hospital Unit 273R00000X PPH 04-2423 OH Primary

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 names 1

  • Blanchard Valley Hospital Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20071023000003 OH Part A Provider - Hospital 3971404187 Practice locations: Findlay, OH

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1023193992. Details of each certification follow.

Hospital certification: CCN 36S095

Legal name
BLANCHARD VALLEY REGIONAL HEALTH CENTER
Doing business as
BLANCHARD VALLEY HOSPITAL
Organization structure
CorporationNon-profit
Incorporated
Jul 6, 1982 in OH
Enrollment address
1900 S Main St
Findlay, OH 45840-1214
Hospital Psychiatric Unit
Hospital subgroups
Psychiatric

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs with the same Medicare PAC ID 7

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Blanchard Valley Hospital8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

All disclosed owners & managing parties 18

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Frank Cosiano Individual Corporate DirectorBoard Member Jul 1, 2015
Richard Michael Polder Individual Corporate DirectorBoard Member Aug 30, 2012
Dan Kennard Individual Corporate DirectorBoard Member Jul 1, 2021
Blanchard Valley Health System Organization, Findlay, OH Corporation 5% Or Greater Direct Ownership Interest Jan 27, 1983 100%
Michael Brough Individual Corporate DirectorBoard Member Jul 1, 2021
Elizabeth Kroetz Individual Corporate DirectorBoard Member Jul 1, 2021
Ginger Jones Individual Corporate DirectorBoard Member May 1, 2015
Jeffery Shrader Individual Corporate DirectorBoard Member Jul 1, 2021
Adele Webb Individual Corporate DirectorBoard Member Jan 1, 2018
Donald Malarky Individual Corporate DirectorBoard Member Jul 1, 2023
Kimberly K Stumpp Individual Corporate DirectorBoard Member Aug 30, 2012
Annette Edgington Individual Corporate DirectorBoard Member Jul 1, 2023
Myron Lewis Individual Corporate OfficerCeo Jan 1, 2021
Corporate DirectorBoard Member Jan 1, 2021
W-2 Managing EmployeeCeo Jan 1, 2021
Richard States Individual Corporate DirectorBoard Member Oct 31, 2019
James PF Dowling Individual Corporate DirectorBoard Member Jan 1, 2018
David Cytlak Individual Corporate OfficerChief Financial Officer Jan 1, 2010
W-2 Managing EmployeeChief Financial Officer Jan 1, 2007
William Hopkins Individual Corporate DirectorBoard Member Jul 1, 2022
John Reineke Individual Corporate DirectorBoard Member Jul 1, 2018

Owners & managing parties with NPI records 3

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Facilities with the same owner 6

Facilities that share an organizational owner with 5% or greater ownership or operational control.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1161820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674604800000",
    "number": "1023193992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 SOUTH MAIN ST",
            "city": "FINDLAY",
            "state": "OH",
            "postal_code": "458401214",
            "telephone_number": "419-423-5262",
            "fax_number": "419-423-5550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 SOUTH MAIN ST",
            "city": "FINDLAY",
            "state": "OH",
            "postal_code": "458401214",
            "telephone_number": "419-423-5262",
            "fax_number": "419-423-5550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLANCHARD VALLEY REGIONAL HEALTH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-26",
        "last_updated": "2023-01-25",
        "certification_date": "2023-01-25",
        "status": "A",
        "authorized_official_last_name": "CYTLAK",
        "authorized_official_first_name": "DAVE",
        "authorized_official_title_or_position": "VP FINANCE",
        "authorized_official_telephone_number": "419-423-5497"
    },
    "taxonomies": [
        {
            "code": "273R00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Unit",
            "state": "OH",
            "license": "PPH 04-2423",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Blanchard Valley Hospital",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Blanchard Valley Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Findlay, OH

Sources for this page

Verify at the official NPI Registry.