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Galion Community Hospital

Organization Active NPI Rural Health Clinic/Center · Galion, OH

NPI 1023322674 · NPPES record last updated Aug 5, 2010

Key facts

NPI
1023322674
Entity type
Organization (NPI type 2)
Primary specialty
Rural Health Clinic/Center 261QR1300X
Legal business name
GALION COMMUNITY HOSPITAL
Practice address
955 Bucyrus Rd
Galion, OH 44833-1509
Phone
(419) 468-4220
Fax
(419) 462-7019
NPI assigned
Aug 5, 2010
Organization subpart
No

Authorized official

Name
Eric Draime
Title
Cfo
Phone
(419) 468-0501

Owned or controlled facilities with NPI records 3

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Other NPIs with the same Medicare PAC ID 16

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

Corporate family (same tax ID) 26

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

View all 26

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

Practitioners 40

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 40

Medicare participation

Medicare fee-for-service enrollment
Enrolled in OH

Rural health clinic certification: CCN 363987

Legal name
GALION COMMUNITY HOSPITAL
Doing business as
GCH PHYSICIAN PRACTICES, BUCYRUS ROAD CAMPUS
Certification status
Active
Provider type (POS)
Rural health clinic
Participating since
Mar 24, 2011
Last certification
Feb 21, 2017
Ownership / control type
1B
Organization structure
Corporation · Non-profit
Incorporated
Nov 5, 1954 in OH
Enrollment address
955 Bucyrus Rd
Galion, OH 44833-1509
Related CCNs
361325

All disclosed owners & managing parties 17

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

NameRoleSinceShare
Donald Barr
Individual 		Corporate Director
Board Member		 Sep 1, 2010
Jeffrey Underwood
Individual 		Corporate Director
Board Member		 Jan 1, 2014
Mark Schneider
Individual 		Corporate Director
Board Member		 Sep 1, 2010
Linda Chambers
Individual 		Corporate Director
Board Member		 Sep 1, 2010
Kymberly Fox
Individual 		Corporate Director
Board Member		 Sep 1, 2010
Kay E McDonald
Individual 		Corporate Director
Board Member		 Jan 28, 2010
Rex Cramer
Individual 		Corporate Director
Board Member		 Sep 1, 2010
Charles Walker
Individual 		Corporate Director
Board Member		 Sep 1, 2010
Jerome B Morasko
Individual 		Contracted Managing Employee
Ceo		 Apr 13, 2009
Corporate Officer
Ceo		 Apr 13, 2009
W-2 Managing Employee
Ceo		 Sep 1, 2010
Eric Geyer
Individual 		Corporate Director
Board Member		 Sep 1, 2010
Philip M Brown
Individual 		Corporate Director
Board Member		 Jan 28, 2011
Joseph Shadeed
Individual 		Corporate Director
Board Member		 Jan 27, 2011
Donald E Draime
Individual 		Corporate Officer
Cfo		 Mar 29, 2010
Sherri L Clevenger
Individual 		Corporate Director
Board Member		 Jan 1, 2010
Douglas Schilling
Individual 		Corporate Director
Board Member		 Sep 1, 2010
Jason R McMullen
Individual 		Corporate Director
Board Member		 Jan 27, 2011
Donald Plotts
Individual 		Corporate Director
Board Member		 Jan 1, 2014

All facility ownership & control disclosures 3

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Bucyrus Community Hospital
Bucyrus, OH · CCN 361316		 Hospital 5% Or Greater Direct Ownership Interest (100%) Dec 31, 2010
Avita Ontario
Ontario, OH · CCN 360365		 Hospital 5% Or Greater Direct Ownership Interest (100%) Sep 8, 2015
GCH Physician Practice Gaius Street
Bucyrus, OH · CCN 363411		 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Nov 5, 1954

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20100916000788 OH Part a Provider - Rural Health Clinic 5496737439 Practice locations: Galion, OH

National Provider Directory

Tax ID family
GCH Medical Practice (27 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X Yes

Addresses

Primary practice location

955 Bucyrus Rd
Galion, OH 44833-1509

Mailing address

955 Bucyrus Rd
Galion, OH 44833-1509
Phone (419) 468-4220

Other names

  • GCH Physician Practices, Bucyrus Road Campus Doing business as

Other providers in Galion, OH

All providers in Galion, OH · Rural Health Clinic/Center in Ohio

Sources for this page

Verify at the official NPI Registry.