NPIMap

Organization Active NPI

Medcentral Health System

  • Medicare Defined Swing Bed Hospital Unit
  • Shelby, OH
National Provider Identifier
1386796910
Registry record updated Apr 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medicare Defined Swing Bed Hospital UnitTaxonomy code 275N00000X
Legal business name
MEDCENTRAL HEALTH SYSTEM
Practice address
20 Morris Road
Shelby, OH 44875-0000
Phone
(419) 342-5015
Fax
(419) 526-8834
NPI assigned
Jan 16, 2007
Organization subpart
Yes
Parent organization
OHIO HEALTH CORPORATIONAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 23, 2020

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

Authorized official

Name
Mr. Michael P Browning
Title
Cfo, Ohiohealth
Phone
(614) 544-4161

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medicare Defined Swing Bed Hospital Unit 275N00000X OH
Medicare Defined Swing Bed Hospital Unit 275N00000X Primary

Addresses

Primary practice location

20 Morris Road
Shelby, OH 44875-0000

Mailing address

3430 Ohiohealth Parkway
3Rd Floor North
Columbus, OH 43202
Phone (614) 544-4125

Other names 1

  • MedCentral Medicare Defined Swing Bed Unit Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20101213000586 OH Part A Provider - Critical Access Hospital 9830007913 Practice locations: Shelby, OH

Hospital certification: CCN 36Z324

Legal name
MEDCENTRAL HEALTH SYSTEM
Doing business as
OHIOHEALTH MEDCENTRAL SHELBY HOSPITAL
Organization structure
CorporationNon-profit
Incorporated
Jun 17, 1903 in OH
Enrollment address
199 W Main St
Shelby, OH 44875-1490

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

Other NPIs with the same Medicare PAC ID 3

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

National Provider Directory

National Provider Directory
Tax ID family
Medcentral Homecare and Hospice12 organizations share this tax ID, including this one
Part of
Riverside Methodist Hospital

Other organizations with this tax ID 11

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

Ownership & related parties

All disclosed owners & managing parties 23

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

NameRoleSinceShare
John Schwemer Individual Corporate DirectorBoard Member Feb 1, 2020
Wade Giffin Individual Corporate DirectorBoard Member Jul 1, 2021
Andy Rose Individual Corporate OfficerTreasurer Jul 1, 2023
Corporate DirectorBoard Member Jul 1, 2021
Nicholas P Honda Individual Corporate DirectorBoard Member Jan 1, 2024
Donna James Individual Corporate OfficerSecretary Jul 1, 2021
Corporate DirectorBoard Member Jul 1, 2021
Michael Coleman Individual Corporate DirectorBoard Member Jul 1, 2020
Stephen Markovich Individual Corporate OfficerPresident & Ceo, Ohiohealth Jul 1, 2019
W-2 Managing EmployeePresident & Ceo, Ohiohealth Jul 1, 2019
Sandy Doyle-Ahern Individual Corporate DirectorBoard Member Jul 1, 2023
Ohiohealth Corporation Organization, Columbus, OH Non-profit Operational/Managerial Control Mar 1, 2014
David Harrison Individual Corporate DirectorBoard Member Jul 1, 2020
Arvind Mark Malik Individual Corporate DirectorBoard Member Jan 1, 2024
Carolyn S Kile Individual Corporate DirectorBoard Member Jul 1, 2023
Jeffrey D Hutchison Individual Corporate DirectorBoard Member Jul 1, 2021
Michael P Browning Individual Corporate OfficerSenior VP & Cfo, Ohiohealth Jun 3, 2019
Linda Hondros Individual Corporate OfficerVice Chairman Jul 1, 2024
Corporate DirectorBoard Member Jul 1, 2019
Karen Cook Individual Corporate DirectorBoard Member Oct 1, 2017
Mike Mahaffey Individual Corporate DirectorBoard Member Jul 1, 2023
Gregory Palmer Individual Corporate DirectorBoard Member Mar 1, 2014
Peggy Simmons Individual Corporate DirectorBoard Member Jan 1, 2024
Joseph S Lyren Individual Corporate DirectorVP Finance Mar 27, 2017
W-2 Managing Employee Mar 27, 2017
Jennifer Lynn Papp Individual Corporate DirectorBoard Member Oct 1, 2023
David Eichinger Individual Corporate DirectorBoard Member Jul 1, 2017
Elizabeth Ingram Individual Corporate OfficerChairman Jul 1, 2024
Corporate DirectorBoard Member Jul 1, 2015

Owners & managing parties with NPI records 4

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

Facilities with the same owner 2

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

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": "1168905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1587600000000",
    "number": "1386796910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3430 OHIOHEALTH PARKWAY",
            "address_2": "3RD FLOOR NORTH",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "43202",
            "telephone_number": "614-544-4125",
            "fax_number": "614-544-4470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 MORRIS ROAD",
            "city": "SHELBY",
            "state": "OH",
            "postal_code": "448750000",
            "telephone_number": "419-342-5015",
            "fax_number": "419-526-8834"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDCENTRAL HEALTH SYSTEM",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "OHIO HEALTH CORPORATION",
        "enumeration_date": "2007-01-16",
        "last_updated": "2020-04-23",
        "certification_date": "2020-04-23",
        "status": "A",
        "authorized_official_last_name": "BROWNING",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "CFO, OHIOHEALTH",
        "authorized_official_telephone_number": "614-544-4161",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "275N00000X",
            "taxonomy_group": "",
            "desc": "Medicare Defined Swing Bed Unit",
            "state": "OH",
            "license": null,
            "primary": false
        },
        {
            "code": "275N00000X",
            "taxonomy_group": "",
            "desc": "Medicare Defined Swing Bed Unit",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MedCentral Medicare Defined Swing Bed Unit",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "MedCentral Medicare Defined Swing Bed Unit",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Shelby, OH

Sources for this page

Verify at the official NPI Registry.