NPIMap

Organization Active NPI

Galion Community Hosptial

Doing business as GCH Health Services

  • Internal Medicine Physician
  • Galion, OH
National Provider Identifier
1306007497
Registry record updated Apr 24, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
35057542G Issued in OH
Legal business name
GALION COMMUNITY HOSPTIAL
Doing business as
GCH Health Services
Practice address
270 Portland Way South
Galion, OH 44833-2381
Phone
(419) 468-0505
Fax
(419) 468-2381
NPI assigned
Jun 20, 2008
Last updated
Apr 24, 2014By the provider in NPPES
Organization subpart
Yes
Parent organization
GALION COMMUNITY HOSPITALAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 24, 2014

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

Authorized official

Name
Donald Eric Draime
Title
Cfo
Phone
(419) 468-0501

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 35057542G OH Primary

Addresses

Primary practice location

270 Portland Way South
Galion, OH 44833-2381

Mailing address

269 Portland Way South
Galion, OH 44833-2312
Phone (419) 468-4841

Other identifiers 1

IdentifierTypeStateIssuer
2570712MedicaidOH

Other names 1

  • GCH Health Services Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
36D0968398GCH Health Services270 Portland Way S - Lower Level, Galion, OH 44833Certificate of waiverMar 12, 2028

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

NPI Registry JSON

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

{
    "created_epoch": "1213920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1398297600000",
    "number": "1306007497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "269 PORTLAND WAY SOUTH",
            "city": "GALION",
            "state": "OH",
            "postal_code": "448332312",
            "telephone_number": "419-468-4841",
            "fax_number": "419-468-2381"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "270 PORTLAND WAY SOUTH",
            "city": "GALION",
            "state": "OH",
            "postal_code": "448332381",
            "telephone_number": "419-468-0505",
            "fax_number": "419-468-2381"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GALION COMMUNITY HOSPTIAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "GALION COMMUNITY HOSPITAL",
        "enumeration_date": "2008-06-20",
        "last_updated": "2014-04-24",
        "status": "A",
        "authorized_official_last_name": "DRAIME",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "ERIC",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "419-468-0501"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35057542G",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2570712",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GCH Health Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Galion, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.