NPIMap

Organization Active NPI

Millcreek Community Hospital

  • Rehabilitation Hospital Unit
  • Erie, PA
National Provider Identifier
1245676345
Registry record updated Mar 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Hospital UnitTaxonomy code 273Y00000X
License
570101 Issued in PA
Legal business name
MILLCREEK COMMUNITY HOSPITAL
Practice address
5515 Peach St
Erie, PA 16509-2603
Phone
(814) 864-4031
Fax
(814) 868-7770
NPI assigned
May 15, 2013
Last updated
Mar 7, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2020

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

Authorized official

Name
Michael Heller
Title
Chief Financial Officer
Phone
(814) 868-7758

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Hospital Unit 273Y00000X 570101 PA Primary

Addresses

Primary practice location

5515 Peach St
Erie, PA 16509-2603

Mailing address

5515 Peach St
Erie, PA 16509-2603
Phone (814) 864-4031

Other names 1

  • Millcreek Community Hospital Inpatient Rehab Unit Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130424000340 PA Part A Provider - Hospital 8426020173 Practice locations: Erie, PA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1245676345. Details of each certification follow.

Hospital certification: CCN 39T198

Legal name
MILLCREEK COMMUNITY HOSPITAL
Organization structure
CorporationNon-profit
Incorporated
May 20, 1948 in PA
Enrollment address
5515 Peach St
Erie, PA 16509-2603
Hospital Rehabilitation Unit
Hospital subgroups
Rehabilitation unit

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

Other NPIs with the same Medicare PAC ID 23

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

View all 23

Care Compare: Inpatient rehabilitation facility

Medicare Care Compare
Listed as
Millcreek Community HospitalCCN 39T198 · All quality measures
Ownership
Non-profit
Certified
Jul 1, 2013

National Provider Directory

National Provider Directory
Tax ID family
Southeast Med Ctr Millc34 organizations share this tax ID, including this one

Other organizations with this tax ID 33

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

View all 33

Ownership & related parties

All disclosed owners & managing parties 13

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

NameRoleSinceShare
John M Ferretti Individual Corporate DirectorBoard Chair Aug 1, 2017
Richard P Olinger Individual Corporate DirectorBoard Treasurer Aug 1, 2017
William F McCarthy Individual Corporate DirectorBoard Member Mar 1, 2001
Richard Seager Individual Corporate DirectorBoard Member Mar 1, 2006
Silvia M Ferretti Individual Corporate DirectorBoard Secretary Mar 1, 2001
Anthony J Ferretti Individual Corporate OfficerTrustee Jan 1, 2023
Danielle Marie Hansen Individual Corporate OfficerTrustee Jan 1, 2023
Steven Inman Individual Contracted Managing EmployeeVP Fiscal Services Jan 1, 2021
Corporate Officer Jan 1, 2021
Robert George Individual Corporate Officer Jan 1, 2023
David Rubino Individual Corporate DirectorBoard Member Aug 1, 2017
Mary L Eckert Individual Corporate DirectorBoard President Aug 1, 2017
Nancy Z Oneill Individual Corporate DirectorBoard Member Mar 1, 2001
Dale P Sparber Individual Corporate DirectorBoard Member Mar 1, 2001

Owners & managing parties with NPI records 3

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

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

Affiliated clinicians 4

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": "1368576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1583539200000",
    "number": "1245676345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5515 PEACH ST",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165092603",
            "telephone_number": "814-864-4031",
            "fax_number": "814-868-7770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5515 PEACH ST",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165092603",
            "telephone_number": "814-864-4031",
            "fax_number": "814-868-7770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILLCREEK COMMUNITY HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-15",
        "last_updated": "2020-03-07",
        "certification_date": "2020-03-07",
        "status": "A",
        "authorized_official_last_name": "HELLER",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "814-868-7758"
    },
    "taxonomies": [
        {
            "code": "273Y00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Unit",
            "state": "PA",
            "license": "570101",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Millcreek Community Hospital Inpatient Rehab Unit",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Erie, PA

Sources for this page

Verify at the official NPI Registry.