NPIMap

Organization Active NPI

Galion Community Hospital

Doing business as GCH Physician Practice, Bucyrus Community Hospital - Primary Care

  • Rural Health Clinic/Center
  • Bucyrus, OH
National Provider Identifier
1053678201
Registry record updated Mar 26, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
License
261QR1300X Issued in OH
Legal business name
GALION COMMUNITY HOSPITAL
Doing business as
GCH Physician Practice, Bucyrus Community Hospital - Primary Care
Practice address
629 N Sandusky Ave
Bucyrus, OH 44820-1821
Phone
(419) 562-4677
NPI assigned
Apr 12, 2012
Last updated
Mar 26, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2014

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

Authorized official

Name
Mr. Donald E. Draime
Title
Vice President/Cfo
Phone
(419) 468-0501

Specialties & licenses 1

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

Addresses

Primary practice location

629 N Sandusky Ave
Bucyrus, OH 44820-1821

Mailing address

269 Portland Way S
Galion, OH 44833-2312
Phone (419) 468-4841

Other names 1

  • GCH Physician Practice, Bucyrus Community Hospital - Primary Care Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1053678201. Details of each certification follow.

Rural health clinic certification: CCN 363993

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
GCH PHYSICIAN PRACTICES, BCH PRIMARY CARE
Certification status
Active
Provider type (POS)
Rural health clinic
Participating since
Sep 16, 2013
Last certification
Sep 16, 2013
Ownership / control type
2B
Facility address
629 North Sandusky Avenue
Bucyrus, OH 44820
Related CCNs
361325

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1334188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1395792000000",
    "number": "1053678201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "269 PORTLAND WAY S",
            "city": "GALION",
            "state": "OH",
            "postal_code": "448332312",
            "telephone_number": "419-468-4841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "629 N SANDUSKY AVE",
            "city": "BUCYRUS",
            "state": "OH",
            "postal_code": "448201821",
            "telephone_number": "419-562-4677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GALION COMMUNITY HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-12",
        "last_updated": "2014-03-26",
        "status": "A",
        "authorized_official_last_name": "DRAIME",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "VICE PRESIDENT/CFO",
        "authorized_official_telephone_number": "419-468-0501",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "OH",
            "license": "261QR1300X",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GCH Physician Practice, Bucyrus Community Hospital - Primary Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bucyrus, OH

Sources for this page

Verify at the official NPI Registry.