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Organization Active NPI

Southwest General Health Center

  • Psychiatric Hospital Unit
  • Middleburg HTS, OH
National Provider Identifier
1376579532
Registry record updated Mar 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric Hospital UnitTaxonomy code 273R00000X
Legal business name
SOUTHWEST GENERAL HEALTH CENTER
Practice address
7265 Old Oak Blvd
Middleburg HTS, OH 44130-3417
Phone
(440) 816-8179
Fax
(440) 816-8197
NPI assigned
Jun 22, 2006
Organization subpart
Yes
Parent organization
SOUTHWEST GENERAL HEALTH CENTERAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 14, 2025

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

Authorized official

Name
William Young Jr.
Title
President/Ceo
Phone
(440) 816-6701

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Hospital Unit 273R00000X Primary

Addresses

Primary practice location

7265 Old Oak Blvd
Middleburg HTS, OH 44130-3417

Mailing address

18697 Bagley Rd
Middleburg HTS, OH 44130-3417
Phone (440) 816-8071

Other identifiers 6

IdentifierTypeStateIssuer
1508074OtherUNITED MINE WORKERS
8295509MedicaidOH
0065710OtherAETNA
5035374OtherUNITED HEALTHCARE
18120OtherQUALCHOICE
000000076347OtherANTHEM

Other names 1

  • Oakview Mental Health Services Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20071108000249 OH Part A Provider - Hospital 7012909245 Practice locations: Middleburg Heights, OH

Hospital certification: CCN 36S155

Legal name
SOUTHWEST GENERAL HEALTH CENTER
Doing business as
OAKVIEW MENTAL HEALTH SERVICES
Organization structure
CorporationNon-profit
Incorporated
Oct 25, 1920 in OH
Enrollment address
18697 Bagley Rd
Middleburg Heights, OH 44130-3417
Hospital Psychiatric Unit
Hospital subgroups
Psychiatric unit

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

Other NPIs with the same Medicare PAC ID 5

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

National Provider Directory

National Provider Directory
Tax ID family
Southwest General Health8 organizations share this tax ID, including this one
Part of
Southwest General Health

Other organizations with this tax ID 7

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

Ownership & related parties

All disclosed owners & managing parties 32

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

NameRoleSinceShare
William Gary Individual Corporate DirectorTrustee Jun 1, 2017
Robert T Krivak Individual Corporate DirectorTrustee Jun 1, 2016
Lavonne E Pulliam Individual Corporate DirectorTrustee Jan 1, 2023
Christine a Lobas Individual Corporate DirectorTrustee Jun 1, 2016
Geoffrey P Allman Individual Corporate DirectorTrustee Jun 30, 2022
Nicolette E Scott Individual Corporate DirectorTrustee May 12, 2022
Albert E Matyas Individual Corporate OfficerVP Marketing and Development Dec 3, 2007
Adrian Maldonado Individual Corporate OfficerVice Treasurer Jun 1, 2016
Paul Robert Hinchey Individual Corporate DirectorTrustee Jan 1, 2022
Gregory J Rogers Individual Corporate OfficerVP Medical Staff Jan 1, 2023
Shelley a Chornak Individual Corporate DirectorTrustee Jan 1, 2023
Darrell Lentz Individual Corporate OfficerVice President and Cfo Aug 6, 2025
Cynthia V Schulz Individual Corporate OfficerChairman Jun 1, 2016
Ken D Semelsberger Individual Corporate DirectorTrustee Jun 1, 2017
Michael Baach Individual Corporate DirectorTrustee Jun 1, 2016
Joni O Edwards Individual Corporate OfficerVP Human Resources Jan 27, 2021
Jamie Zayed Individual Corporate OfficerVice President - Cio Aug 5, 2024
Ferdinand M Plecha Individual Corporate OfficerVP/Chief Medical Officer Jan 1, 2018
William a Young Individual Corporate OfficerPresident/Ceo Jan 1, 2016 100%
W-2 Managing Employee Jan 1, 2016 100%
Thomas M Wynne Individual Corporate DirectorTrustee Jun 1, 2017
Southwest Community Health System Organization, Middleburg Heights, OH Non-profit Operational/Managerial Control Nov 1, 2007 100%
David Sylvan Individual Corporate DirectorTrustee Jan 1, 2023
James F Sheppard Individual Corporate DirectorTrustee Jun 1, 2016
Wayne E Brassell Individual Corporate DirectorTrustee Jun 1, 2016
Brian Monter Individual Corporate DirectorTrustee Jan 1, 2022
Paul Tait Individual Corporate DirectorTrustee Jun 1, 2016
Theodoros N Teknos Individual Corporate DirectorTrustee Jan 1, 2020
Rickey J Shyne, PHD Individual Corporate DirectorTrustee Jun 1, 2016
Thomas W Laub Individual Corporate DirectorTrustee Jan 1, 2022
Brett C Hazzard Individual Corporate DirectorTrustee Jan 1, 2022
John a Alton Individual Corporate OfficerPresident Medical Staff Jan 1, 2023
Martha F Bauschka Individual Corporate OfficerVP Patient Care SVC/Cno Dec 1, 2007

Owners & managing parties with NPI records 5

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

Facilities with the same owner 4

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1150934400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741910400000",
    "number": "1376579532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18697 BAGLEY RD",
            "city": "MIDDLEBURG HTS",
            "state": "OH",
            "postal_code": "441303417",
            "telephone_number": "440-816-8071",
            "fax_number": "440-816-6716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7265 OLD OAK BLVD",
            "city": "MIDDLEBURG HTS",
            "state": "OH",
            "postal_code": "441303417",
            "telephone_number": "440-816-8179",
            "fax_number": "440-816-8197"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHWEST GENERAL HEALTH CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SOUTHWEST GENERAL HEALTH CENTER",
        "enumeration_date": "2006-06-22",
        "last_updated": "2025-03-14",
        "certification_date": "2025-03-14",
        "status": "A",
        "authorized_official_last_name": "YOUNG",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "440-816-6701",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "273R00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Unit",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED MINE WORKERS",
            "identifier": "1508074",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8295509",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "0065710",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "5035374",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "QUALCHOICE",
            "identifier": "18120",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000076347",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Oakview Mental Health Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Middleburg HTS, OH

Sources for this page

Verify at the official NPI Registry.