NPIMap

Organization Active NPI

H.B. Magruder Hospital

Doing business as Magruder Hospital PC Emergency

  • Intermediate Emergency Medical Technician
  • Port Clinton, OH
National Provider Identifier
1255401345
Registry record updated Aug 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intermediate Emergency Medical TechnicianTaxonomy code 146M00000X
License
1252 Issued in OH
Legal business name
H.B. MAGRUDER HOSPITAL
Doing business as
Magruder Hospital PC Emergency
Practice address
615 Fulton St
Port Clinton, OH 43452-2001
Phone
(419) 734-3131
NPI assigned
Nov 8, 2006
Last updated
Aug 19, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2021

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

Authorized official

Name
Nick Marsico
Title
President - Ceo
Phone
(419) 734-3131

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intermediate Emergency Medical TechnicianGroup: 193400000X SINGLE SPECIALTY GROUP 146M00000X 1252 OH Primary

Addresses

Primary practice location

615 Fulton St
Port Clinton, OH 43452-2001

Mailing address

615 Fulton St
Port Clinton, OH 43452-2001
Phone (419) 734-3131

Other identifiers 6

IdentifierTypeStateIssuer
395857OtherOHBLACK LUNG ER
5430662MedicaidOH
6460950OtherOHAETNA ER
709136OtherOHBUCKEYE ER
03718OtherOHPARAMOUNT ER
H3613141OtherOHHUMANA MEDICARE ER

Other names 1

  • MAGRUDER HOSPITAL PC EMERGENCY Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Port Clinton Emerg PH4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

Ownership & related parties

Subparts reporting this organization as parent 2

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

NPI Registry JSON

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

{
    "created_epoch": "1162944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1629331200000",
    "number": "1255401345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "615 FULTON ST",
            "city": "PORT CLINTON",
            "state": "OH",
            "postal_code": "434522001",
            "telephone_number": "419-734-3131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 FULTON ST",
            "city": "PORT CLINTON",
            "state": "OH",
            "postal_code": "434522001",
            "telephone_number": "419-734-3131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "H.B. MAGRUDER HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-08",
        "last_updated": "2021-08-19",
        "certification_date": "2021-08-19",
        "status": "A",
        "authorized_official_last_name": "MARSICO",
        "authorized_official_first_name": "NICK",
        "authorized_official_title_or_position": "PRESIDENT - CEO",
        "authorized_official_telephone_number": "419-734-3131"
    },
    "taxonomies": [
        {
            "code": "146M00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Emergency Medical Technician, Intermediate",
            "state": "OH",
            "license": "1252",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLACK LUNG ER",
            "identifier": "395857",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5430662",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA ER",
            "identifier": "6460950",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BUCKEYE ER",
            "identifier": "709136",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PARAMOUNT ER",
            "identifier": "03718",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HUMANA MEDICARE ER",
            "identifier": "H3613141",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MAGRUDER HOSPITAL PC EMERGENCY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "MAGRUDER HOSPITAL PC EMERGENCY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Port Clinton, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.