Fulton County Health Center

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

FULTON COUNTY HEALTH CENTER

Doing business as

Fulton Manor Nursing and Rehabilitation Center

Practice address

723 S Shoop Ave
Wauseon, OH 43567-1723

Phone

(419) 335-2017

Fax

(419) 330-2714

NPI assigned

Sep 20, 2005

Last updated

Aug 18, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Patricia Ann Finn

Title

Ceo

Phone

(419) 330-2604

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Fulton Manor Nursing and Rehabilitation Center Doing business as

Tax ID family

Fulton Cnty HLTH CNTR2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Fulton County Health Center

  dba FulCare Behavior Health

  • Psychiatric Hospital Unit
  • Wauseon, OH
  • NPI 1952633026
  NPD tax ID

Locations

Practitioners 2

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.

• Kimberly Hagerman, M.D.

  • Family Medicine Physician
  • Wauseon, OH
  • NPI 1487650446
  NPD (past)
• Mark A Wainstein, MD

  • Urology Physician
  • Truckee, CA
  • NPI 1225033996
  NPD (past)

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

{
    "created_epoch": "1127174400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692316800000",
    "number": "1265427892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "723 SOUTH SHOOP AVENUE",
            "city": "WAUSEON",
            "state": "OH",
            "postal_code": "43567",
            "telephone_number": "419-335-2017",
            "fax_number": "419-330-2714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "723 S SHOOP AVE",
            "city": "WAUSEON",
            "state": "OH",
            "postal_code": "435671723",
            "telephone_number": "419-335-2017",
            "fax_number": "419-330-2714"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FULTON COUNTY HEALTH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-20",
        "last_updated": "2023-08-18",
        "certification_date": "2023-08-18",
        "status": "A",
        "authorized_official_last_name": "FINN",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "419-330-2604"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0379880",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fulton Manor Nursing and Rehabilitation Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Fulton County
• Fulton County (Fulton County Health Department)
• Fulton County (Fulton County Health Department)
• Fulton County Board of DD
• Fulton County Board of Developmental Disabilities
• Fulton County Health Center
• Fulton County Health Center (FulCare Behavior Health)
• Angela Marie Gable, RPH, CDE
• Gina Galbraith
• Stacy Lea Galbraith

• Skilled Nursing Facility in Wauseon, OH
• Providers in Wauseon, OH by specialty
• Skilled Nursing Facility in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2023; 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.