NPIMap

Organization Active NPI

Firelands Regional Medical Center

  • Renal Dialysis Technician
  • Bellevue, OH
National Provider Identifier
1376780379
Registry record updated Nov 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Renal Dialysis TechnicianTaxonomy code 2472R0900X
Legal business name
FIRELANDS REGIONAL MEDICAL CENTER
Practice address
290 Progress Drive
Suite a
Bellevue, OH 44811
Phone
(419) 483-2070
Fax
(419) 483-2120
NPI assigned
Jan 13, 2009
Last updated
Nov 3, 2023By the provider in NPPES
Organization subpart
Yes
Parent organization
FIRELANDS REGIONAL MEDICAL CENTERAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 3, 2023

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

Authorized official

Name
Mr. Kevin Riley
Title
Cfo
Phone
(419) 557-7490

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Renal Dialysis Technician 2472R0900X NU Primary
End-Stage Renal Disease (ESRD) Treatment Clinic/Center 261QE0700X NU
General Acute Care Hospital 282N00000X NU

Addresses

Primary practice location

290 Progress Drive
Suite a
Bellevue, OH 44811

Mailing address

290 Progress Drive
Suite a
Bellevue, OH 44811
Phone (419) 483-2070

Other names 1

  • Firelands Bellevue Dialysis Center Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090213000254 OH Part A Provider - End-Stage Renal Disease Facility (ESRD) 6103734645 Practice locations: Bellevue, OH

Other NPIs with the same Medicare PAC ID 4

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

Care Compare: Dialysis facility

Medicare Care Compare
Listed as
Firelands Bellevue Dialysis CenterCCN 363511
Overall star rating
3.0 of 5
Ownership
Non-profit
Certified
Jul 16, 2009
Medicare certification status
ActiveFrom the Provider of Services file
Dialysis stations
16

Name & address match This facility record has no NPI; it was connected to this NPI by matching name and address.

National Provider Directory

National Provider Directory
Tax ID family
Firelands Comm Hosp10 organizations share this tax ID, including this one
Part of
Firelands Comm Hosp

Other organizations with this tax ID 9

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

Locations

290 Progress Dr
Ste A
Bellevue, OH 44811
Phone (419) 483-2070

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Firelands Regional Medical Center Home Health ServicesSandusky, OH, CCN 367691 Home health agency Operational/Managerial Control Sep 4, 1996

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Practitioners & affiliated clinicians

Affiliated clinicians 2

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

NPI Registry JSON

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

{
    "created_epoch": "1231804800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698969600000",
    "number": "1376780379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "290 PROGRESS DRIVE",
            "address_2": "SUITE A",
            "city": "BELLEVUE",
            "state": "OH",
            "postal_code": "44811",
            "telephone_number": "419-483-2070",
            "fax_number": "419-483-2120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "290 PROGRESS DRIVE",
            "address_2": "SUITE A",
            "city": "BELLEVUE",
            "state": "OH",
            "postal_code": "44811",
            "telephone_number": "419-483-2070",
            "fax_number": "419-483-2120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIRELANDS REGIONAL MEDICAL CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FIRELANDS REGIONAL MEDICAL CENTER",
        "enumeration_date": "2009-01-13",
        "last_updated": "2023-11-03",
        "certification_date": "2023-11-03",
        "status": "A",
        "authorized_official_last_name": "RILEY",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "419-557-7490",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "2472R0900X",
            "taxonomy_group": "",
            "desc": "Technician, Other, Renal Dialysis",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Firelands Bellevue Dialysis Center",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Firelands Bellevue Dialysis Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Bellevue, OH

Sources for this page

Verify at the official NPI Registry.