Galion Community Hospital
Organization Active NPI Rural Health Clinic/Center · Galion, OH
NPI 1275765653 · NPPES record last updated Apr 7, 2014
Key facts
- NPI
- 1275765653
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Rural Health Clinic/Center 261QR1300X
- License
- 1132 (OH)
- Legal business name
- GALION COMMUNITY HOSPITAL
- Practice address
- 269 Portland Way S
Galion, OH 44833-2312 - Phone
- (419) 468-4841
- NPI assigned
- Aug 18, 2009
- Organization subpart
- Yes
- Parent organization (as reported)
- GALION COMMUNITY HOSPITAL
Authorized official
- Name
- Donald Eric Draime
- Title
- Cfo
- Phone
- (419) 468-0501
Owned or controlled facilities with NPI records 3
Other NPIs with the same Medicare PAC ID 16
Corporate family (same tax ID) 26
Related certifications (CCN) 1
Practitioners 40
-
Omar Ahmad, MD
-
Heather Camille Auck, C-NP
-
Ronald H Bailey, PA
-
Ronald Casey, MD
-
Todd M Darmody, M.D.
-
Charles O Davis, PA
-
Michael P Davis, MD
-
Peyton Dennison, CNP, RN
-
William F Emlich Jr., D.O.
-
Tracy Lynn Fulton, NP-C
-
James A Goudy II, MD
-
Sean Hart, CNP
-
Eric Paul Haus, D.O.
-
Ami L Hay, CNP
-
Wendy Michelle Kerr, CNP
-
Andrew John Lee, MD
-
Nhan Trong Luu, M.D.
-
Sarah Metzger, MD
-
Jenna Mae Miller, CNP
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OH
Rural health clinic certification: CCN 363985
- Legal name
- GALION COMMUNITY HOSPITAL
- Doing business as
- GCH PHYSICIAN PRACTICES HOSPITAL CAMPUS
- Certification status
- Active
- Provider type (POS)
- Rural health clinic
- Participating since
- Oct 22, 2010
- Last certification
- Jun 18, 2019
- Ownership / control type
- 2B
- Organization structure
- Corporation · Non-profit
- Incorporated
- Nov 5, 1954 in OH
- Enrollment address
- 269 Portland S Way
Galion, OH 44833-2399 - Related CCNs
- 361325
All disclosed owners & managing parties 18
| Name | Role | Since | Share |
|---|---|---|---|
| Donald Barr |
Corporate Director |
Aug 1, 2009 | |
| Jeffrey Underwood |
Corporate Director |
Jan 1, 2014 | |
| Mark Schneider |
Corporate Director |
Aug 1, 2009 | |
| Linda Chambers |
Corporate Director |
Aug 1, 2009 | |
| Kymberly Fox |
Corporate Director |
Aug 1, 2009 | |
| Kay E McDonald |
Corporate Director |
Dec 3, 2014 | |
| Rex Cramer |
Corporate Director |
Aug 1, 2009 | |
| Charles Walker |
Corporate Director |
Aug 1, 2009 | |
| Jerome B Morasko |
Contracted Managing Employee |
Apr 13, 2009 | |
| Corporate Officer |
Apr 13, 2009 | ||
| Eric Geyer |
Corporate Director |
Aug 1, 2009 | |
| Philip M Brown |
Corporate Director |
Dec 3, 2014 | |
| John a Basinger |
Corporate Director |
Dec 3, 2014 | |
| Joseph Shadeed |
Corporate Director |
Dec 3, 2014 | |
| Donald E Draime |
Corporate Officer |
Mar 29, 2010 | |
| Corporate Director |
Mar 29, 2010 | ||
| Sherri L Clevenger |
Corporate Director |
Dec 3, 2014 | |
| Douglas Schilling |
Corporate Director |
Aug 1, 2009 | |
| Jason R McMullen |
Corporate Director |
Dec 3, 2014 | |
| Donald Plotts |
Corporate Director |
Jan 1, 2014 |
All facility ownership & control disclosures 3
| Facility | Type | Role | Since |
|---|---|---|---|
| Bucyrus Community Hospital |
Hospital | 5% Or Greater Direct Ownership Interest (100%) | Dec 31, 2010 |
| Avita Ontario |
Hospital | 5% Or Greater Direct Ownership Interest (100%) | Sep 8, 2015 |
| GCH Physician Practice Gaius Street |
Rural health clinic | 5% Or Greater Direct Ownership Interest (100%) | Nov 5, 1954 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20090803000409 | OH | Part a Provider - Rural Health Clinic | 5496737439 | Practice locations: Galion, OH |
National Provider Directory
- Tax ID family
- GCH Medical Practice
- Part of
- GCH Medical Practice
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rural Health Clinic/Center | 261QR1300X | 1132 | OH | Yes |
Addresses
Primary practice location
269 Portland Way S
Galion, OH 44833-2312
Mailing address
269 Portland Way S
Galion, OH 44833-2312
Phone (419) 468-4841
Other names
- GCH PHYSICIAN PRACTICE, HOSPITAL CAMPUS
Other providers in Galion, OH
- Galion Community Hospital
- Galion Community Hospital
- Galion Community Hospital
- Galion Community Hospital
- Galion Community Hospital
- Galion Community Hospital
- Galion Community Hospital
- Galion Community Hospital
- Galion Community Hospital
- Galion Community Hospital
All providers in Galion, OH · Rural Health Clinic/Center in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 7, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.