NPIMap

Organization Active NPI

Galion Community Hospital

Doing business as Galion OB/GYN

  • Rural Health Clinic/Center
  • Galion, OH
National Provider Identifier
1205205366
Registry record updated Dec 2, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
GALION COMMUNITY HOSPITAL
Doing business as
Galion OB/GYN
Practice address
1200 State Route 598
Galion, OH 44833
Phone
(419) 468-0111
NPI assigned
Sep 18, 2015
Last updated
Dec 2, 2015By the provider in NPPES
Organization subpart
Yes
Parent organization
GALION COMMUNITY HOSPITALAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 2, 2015

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

Authorized official

Name
Jerome B Morasko
Title
Ceo/President
Phone
(419) 468-0500

Specialties & licenses 1

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

Addresses

Primary practice location

1200 State Route 598
Galion, OH 44833

Mailing address

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

Other names 1

  • Galion OB/GYN Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20151216002886 OH Part A Provider - Rural Health Clinic 5496737439 Practice locations: Galion, OH

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1205205366. Details of each certification follow.

Rural health clinic certification: CCN 363403

Legal name
GALION COMMUNITY HOSPITAL
Doing business as
GALION OB/GYN
Certification status
Active
Provider type (POS)
Rural health clinic
Participating since
Jul 28, 2016
Last certification
Jul 28, 2019
Ownership / control type
2B
Organization structure
CorporationNon-profit
Incorporated
Nov 5, 1954 in OH
Enrollment address
1200 State Route 598
Galion, OH 44833-9367
Related CCNs
361325

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

Other NPIs with the same Medicare PAC ID 16

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

View all 16

National Provider Directory

National Provider Directory
Tax ID family
GCH Medical Practice27 organizations share this tax ID, including this one
Part of
GCH Medical Practice

Other organizations with this tax ID 26

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

View all 26

Ownership & related parties

All disclosed owners & managing parties 9

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

NameRoleSinceShare
Kay E McDonald Individual Corporate DirectorBoard Member Jan 28, 2010
Michelle L Burgin Individual W-2 Managing EmployeeVice President of Physician Serv Dec 31, 2007
Jerome B Morasko Individual Corporate OfficerPresident/Chief Executive Office Apr 13, 2009
Philip M Brown Individual Corporate DirectorBoard Member Jan 28, 2010
John a Basinger Individual Corporate DirectorBoard Member Jan 27, 2011
Joseph Shadeed Individual Corporate DirectorBoard Member Jan 27, 2011
Donald E Draime Individual Corporate OfficerCfo Mar 29, 2010
Sherri L Clevenger Individual Corporate DirectorBoard Member Jan 28, 2010
Jason R McMullen Individual Corporate DirectorBoard Member Jan 27, 2011

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 HospitalBucyrus, OH, CCN 361316 Hospital 5% Or Greater Direct Ownership Interest (100%) Dec 31, 2010
Avita OntarioOntario, OH, CCN 360365 Hospital 5% Or Greater Direct Ownership Interest (100%) Sep 8, 2015
GCH Physician Practice Gaius StreetBucyrus, OH, CCN 363411 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Nov 5, 1954

Owned or controlled facilities with NPI records 3

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

NPI Registry JSON

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

{
    "created_epoch": "1442534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1449014400000",
    "number": "1205205366",
    "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": "44833",
            "telephone_number": "419-468-4841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 STATE ROUTE 598",
            "city": "GALION",
            "state": "OH",
            "postal_code": "44833",
            "telephone_number": "419-468-0111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GALION COMMUNITY HOSPITAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "GALION COMMUNITY HOSPITAL",
        "enumeration_date": "2015-09-18",
        "last_updated": "2015-12-02",
        "status": "A",
        "authorized_official_last_name": "MORASKO",
        "authorized_official_first_name": "JEROME",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "CEO/PRESIDENT",
        "authorized_official_telephone_number": "419-468-0500"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Galion OB/GYN",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Galion, OH

Sources for this page

Verify at the official NPI Registry.