NPIMap

Organization Active NPI

Holzer Hospital Foundation

Doing business as Holzer Rehabilitation Unit

  • Rehabilitation Hospital Unit
  • Gallipolis, OH
National Provider Identifier
1396829966
Registry record updated Jan 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Hospital UnitTaxonomy code 273Y00000X
Legal business name
HOLZER HOSPITAL FOUNDATION
Doing business as
Holzer Rehabilitation Unit
Practice address
100 Jackson Pike
Gallipolis, OH 45631-1560
Phone
(740) 446-5000
Fax
(740) 446-5522
NPI assigned
Oct 24, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2026

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

Authorized official

Name
Rodney B Stout, MDNPI 1184668253
Title
Ceo
Phone
(740) 446-5000

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Hospital Unit 273Y00000X Primary

Addresses

Primary practice location

100 Jackson Pike
Gallipolis, OH 45631-1560

Mailing address

100 Jackson Pike
Gallipolis, OH 45631-1560
Phone (740) 446-5000

Other names 1

  • Holzer Rehabilitation Unit Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070821000043 OH Part A Provider - Hospital 6901896927 Practice locations: Gallipolis, OH

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1396829966. Details of each certification follow.

Hospital certification: CCN 36T054

Legal name
HOLZER HOSPITAL FOUNDATION
Doing business as
HOLZER
Organization structure
CorporationNon-profit
Incorporated
Aug 3, 1929 in OH
Enrollment address
100 Jackson Pike
Gallipolis, OH 45631-1560
Hospital Rehabilitation Unit
Hospital subgroups
General, Acute care, Rehabilitation unit

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

Other NPIs with the same Medicare PAC ID 6

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

Care Compare: Inpatient rehabilitation facility

Medicare Care Compare
Listed as
Holzer Medical CenterCCN 36T054 · All quality measures
Ownership
Non-profit
Certified
Mar 13, 1992

National Provider Directory

National Provider Directory
Tax ID family
Holzer Medical Clinic7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

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

Locations

100 Jackson Pike
Gallipolis, OH 45631
Phone (740) 446-5050

Ownership & related parties

All disclosed owners & managing parties 15

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

NameRoleSinceShare
Gerald Roach Individual Corporate DirectorChairman of the Board Jan 1, 2024
Paul Reed Individual Corporate DirectorBoard Member Oct 19, 2007
Robert Wade Pugh Individual Corporate DirectorBoard Member Dec 1, 2016
Lori Harrison Individual W-2 Managing EmployeeCredentialing Coordinator Dec 1, 2014
Shana R Booher Individual Corporate DirectorDirector of Credentialing Jan 1, 2020
Brent Saunders Individual Corporate DirectorBoard Member Jan 1, 2024
Brad Munn Individual Corporate DirectorBoard Member Oct 17, 2007
Craig Alan Mason Individual W-2 Managing EmployeeCredentialing Coordinator Sep 26, 2022
Rodney Barry Stout Individual Corporate OfficerChief Executive Officer Jan 1, 2024
Robert Grillo Individual Corporate DirectorBoard Member Oct 17, 2007
Michael R Canady Individual Corporate DirectorBoard Member Jan 1, 2024
Holzer Health System Organization, Gallipolis, OH Operational/Managerial Control Jun 30, 2007
Michael Haynes Individual Corporate OfficerChief Financial Officer Jan 1, 2017
Nicolette M Jones Individual Corporate OfficerChief Medical Officer Jan 1, 2024
Tom Wiseman Individual Corporate DirectorBoard Member Jan 1, 2024

Owners & managing parties with NPI records 2

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

Facilities with the same owner 7

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

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 13

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

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1768435200000",
    "number": "1396829966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 JACKSON PIKE",
            "city": "GALLIPOLIS",
            "state": "OH",
            "postal_code": "456311560",
            "telephone_number": "740-446-5000",
            "fax_number": "740-446-5522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 JACKSON PIKE",
            "city": "GALLIPOLIS",
            "state": "OH",
            "postal_code": "456311560",
            "telephone_number": "740-446-5000",
            "fax_number": "740-446-5522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLZER HOSPITAL FOUNDATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-24",
        "last_updated": "2026-01-15",
        "certification_date": "2026-01-15",
        "status": "A",
        "authorized_official_last_name": "STOUT",
        "authorized_official_first_name": "RODNEY",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "740-446-5000",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "273Y00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Unit",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Holzer Rehabilitation Unit",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Holzer Rehabilitation Unit",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Gallipolis, OH

Sources for this page

Verify at the official NPI Registry.