NPIMap

Organization Active NPI

Holzer Hospital Foundation

  • Community Based Hospice Care Agency
  • Gallipolis, OH
National Provider Identifier
1194801860
Registry record updated Jan 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
HOLZER HOSPITAL FOUNDATION
Practice address
2881 State Route 160
Gallipolis, OH 45631-8441
Phone
(740) 446-5000
Fax
(740) 446-5522
NPI assigned
Oct 27, 2006
Last updated
Jan 15, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2026

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

Authorized official

Name
Rodney B Stout, MD
Title
Chief Executive Officer
Phone
(740) 446-5000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X NU Primary

Addresses

Primary practice location

2881 State Route 160
Gallipolis, OH 45631-8441

Mailing address

2881 State Route 160
Gallipolis, OH 45631-8441
Phone (740) 446-5000

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080401000048 OH Part A Provider - Hospice 6901896927 Practice locations: Gallipolis, OH

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1194801860. Details of each certification follow.

Hospice certification: CCN 361580

Legal name
HOLZER HOSPITAL FOUNDATION
Doing business as
HOLZER HOSPICE
Certification status
Active
Provider type (POS)
Hospice
Participating since
Dec 16, 1994
Last certification
Jun 5, 2008
Ownership / control type
Non-Profit - Private
Organization structure
CorporationNon-profit
Incorporated
Aug 3, 1929 in OH
Enrollment address
2881 State Route 160
Gallipolis, OH 45631-8441

Other NPIs with the same Medicare PAC ID 6

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

Care Compare: Hospice

Medicare Care Compare
Listed as
Holzer Medical Center HospiceCCN 361580 · All quality measures
Ownership
Non-Profit
Certified
Dec 16, 1994
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory
Tax ID family
Holzer Medical Clinic7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

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

Ownership & related parties

All disclosed owners & managing parties 16

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

NameRoleSinceShare
Gerald Roach Individual Corporate DirectorChairman of the Board Jan 1, 2024
Paul Reed Individual Corporate DirectorBoard Member Oct 19, 2007
Robert Wade Pugh Individual Corporate DirectorBoard Member Jan 1, 2017
Lori Harrison Individual W-2 Managing EmployeeCredentialing Coordinator Jul 14, 2014
Shana R Booher Individual Corporate DirectorDirector of Credentialing Jan 1, 2020
Brent Saunders Individual Corporate DirectorBoard Member Jan 1, 2024
Brad Munn Individual Corporate DirectorBoard Member Oct 17, 2007
Craig Alan Mason Individual W-2 Managing EmployeeCredentialing Coordinator Sep 26, 2022
Rodney Barry Stout Individual Corporate OfficerChief Executive Officer Jan 1, 2024
Robert Grillo Individual Corporate DirectorBoard Member Oct 17, 2007
Larry Kidd Individual Corporate DirectorBoard Member Oct 21, 2009
Michael R Canady Individual Corporate DirectorBoard Member Jan 1, 2024
Holzer Health System Organization, Gallipolis, OH Operational/Managerial Control Feb 22, 2008
Michael Haynes Individual Corporate OfficerChief Financial Officer Jan 1, 2017
Nicolette M Jones Individual Corporate OfficerChief Medical Officer Jan 1, 2024
Tom Wiseman Individual Corporate DirectorBoard Member Jan 1, 2019

Owners & managing parties with NPI records 2

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

Facilities with the same owner 7

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

Practitioners & affiliated clinicians

Affiliated clinicians 3

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1161907200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1768435200000",
    "number": "1194801860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2881 STATE ROUTE 160",
            "city": "GALLIPOLIS",
            "state": "OH",
            "postal_code": "456318441",
            "telephone_number": "740-446-5000",
            "fax_number": "740-446-5522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2881 STATE ROUTE 160",
            "city": "GALLIPOLIS",
            "state": "OH",
            "postal_code": "456318441",
            "telephone_number": "740-446-5000",
            "fax_number": "740-446-5522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLZER HOSPITAL FOUNDATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-27",
        "last_updated": "2026-01-15",
        "certification_date": "2026-01-15",
        "status": "A",
        "authorized_official_last_name": "STOUT",
        "authorized_official_first_name": "RODNEY",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "740-446-5000",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gallipolis, OH

Sources for this page

Verify at the official NPI Registry.