Organization Active NPI

Bluffton Health System LLC

Doing business as Bluffton Regional Medical Center

  • General Acute Care Hospital
  • Bluffton, IN
National Provider Identifier
1376594366
Registry record updated Mar 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
06005069-1 Issued in IN
Legal business name
BLUFFTON HEALTH SYSTEM LLC
Doing business as
Bluffton Regional Medical Center
Practice address
303 S Main St
Bluffton, IN 46714-2503
Phone
(260) 824-3500
Fax
(260) 824-3704
NPI assigned
May 13, 2006
Last updated
Mar 29, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2021

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

Authorized official

Name
Paula M Lalor
Title
Director/Delegated Official
Phone
(629) 215-3953

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X 06005069-1 IN Primary

Addresses

Primary practice location

303 S Main St
Bluffton, IN 46714-2503

Mailing address

303 S Main St
Bluffton, IN 46714-2503
Phone (260) 824-3500

Other identifiers 1

IdentifierTypeStateIssuer
100268120MedicaidIN

Other names 1

  • Bluffton Regional Medical Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041019000031 IN Part A Provider - Hospital 1850202920 Practice locations: Bluffton, IN

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1376594366. Details of each certification follow.

Hospital certification: CCN 150075

Legal name
BLUFFTON HEALTH SYSTEM LLC
Doing business as
BLUFFTON REGIONAL MEDICAL CENTER
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Jul 1, 1966
Last certification
Apr 2, 2009
Beds
79 (50 certified)
Ownership / control type
Private (for profit)
Organization structure
LLCProprietary
Incorporated
Aug 27, 1999 in DE
Enrollment address
303 S Main St
Bluffton, IN 46714-2503
Main/Primary Hospital Location
Hospital subgroups
Acute care

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

Other NPIs with the same Medicare PAC ID 1

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

Care Compare: Hospital

Medicare Care Compare
Listed as
Bluffton Regional Medical CenterCCN 150075 · All quality measures
Overall star rating
4 of 5
Type
Acute Care Hospitals
Ownership
Proprietary
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory
Tax ID family
Wells Community Hosp3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Ownership & related parties

All disclosed owners & managing parties 16

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

NameRoleSinceShare
Nathaniel K Summar Individual Corporate DirectorVP Revenue Management Jul 15, 2017
Justin D Pitt Individual Corporate OfficerPresident/Assist Secretary Jan 6, 2026
Corporate DirectorPresident/Assist Secretary Jan 6, 2026
QHG of Bluffton Compnay LLC Organization, Franklin, TN LLC, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Jan 2, 2007 99%
William Bradley Cash Individual Corporate OfficerExecutive VP Jun 1, 2018
Corporate DirectorExecutive VP Jan 6, 2026
Hma-Tri Holdings LLC Organization, Franklin, TN LLC 5% Or Greater Indirect Ownership Interest Dec 31, 2015 100%
Phillip a Posey Individual Corporate OfficerSenior Vice President Jan 6, 2026
Community Health Systems Inc Organization, Franklin, TN Corporation 5% Or Greater Indirect Ownership Interest Jul 25, 2007 100%
Julie a Thompson Individual W-2 Managing EmployeeCao Jan 2, 2020
Jason Kevin Johnson Individual Corporate OfficerExecutive Vice President Jan 6, 2026
Corporate DirectorExecutive Vice President Jan 6, 2026
Roman Gabriel Ottinger Individual Corporate OfficerSenior VP/Treasurer Jan 6, 2020
Paula M Lalor Individual Corporate DirectorDirector PFS / Delegated Official Apr 1, 2017
Triad Healthcare LLC Organization, Franklin, TN Corporation 5% Or Greater Indirect Ownership Interest Jul 25, 2007 100%
Tennyson Holdings LLC Organization, Franklin, TN LLC 5% Or Greater Indirect Ownership Interest Jan 1, 2007 100%
Edna S Buffington-Price Individual Corporate DirectorVP/Authorized Official Mar 1, 2022
Christopher G Cobb Individual Corporate OfficerVP/Secretary Apr 26, 2013
CHS Community Health Systems Inc Organization, Franklin, TN Corporation 5% Or Greater Indirect Ownership Interest Jul 25, 2007 100%

Facilities with the same owner 120

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

View all 120

Practitioners & affiliated clinicians

Practitioners 1

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.

Affiliated clinicians 136

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 136

NPI Registry JSON

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

{
    "created_epoch": "1147478400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1616976000000",
    "number": "1376594366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 S MAIN ST",
            "city": "BLUFFTON",
            "state": "IN",
            "postal_code": "467142503",
            "telephone_number": "260-824-3500",
            "fax_number": "260-824-3704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 S MAIN ST",
            "city": "BLUFFTON",
            "state": "IN",
            "postal_code": "467142503",
            "telephone_number": "260-824-3500",
            "fax_number": "260-824-3704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUFFTON HEALTH SYSTEM LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-13",
        "last_updated": "2021-03-29",
        "certification_date": "2021-03-29",
        "status": "A",
        "authorized_official_last_name": "LALOR",
        "authorized_official_first_name": "PAULA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "DIRECTOR/DELEGATED OFFICIAL",
        "authorized_official_telephone_number": "629-215-3953"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "IN",
            "license": "06005069-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100268120",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bluffton Regional Medical Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Bluffton Regional Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bluffton, IN

Sources for this page

Verify at the official NPI Registry.