NPIMap

Organization Active NPI

Fairfield Medical Center

  • General Acute Care Hospital
  • Lancaster, OH
National Provider Identifier
1467433763
Registry record updated Mar 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
1167 Issued in OH
Legal business name
FAIRFIELD MEDICAL CENTER
Practice address
401 N Ewing St
Lancaster, OH 43130-3372
Phone
(740) 687-8000
Fax
(740) 687-8939
NPI assigned
Nov 14, 2005
Last updated
Mar 14, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2022

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

Authorized official

Name
John R. Janoso Jr.
Title
President and Ceo
Phone
(740) 687-8000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X 1167 OH Primary

Addresses

Primary practice location

401 N Ewing St
Lancaster, OH 43130-3372

Mailing address

401 N Ewing St
Lancaster, OH 43130-3372
Phone (740) 687-8000

Other identifiers 1

IdentifierTypeStateIssuer
4939179MedicaidOH

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070816000207 OH Part A Provider - Hospital 8123013786 Practice locations: Lancaster, OH; Millersport, OH; New Lexington, OH

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1467433763. Details of each certification follow.

Hospital certification: CCN 360072

Legal name
FAIRFIELD MEDICAL CENTER
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Jul 1, 1966
Last certification
Dec 18, 2015
Beds
250
Ownership / control type
Other
Organization structure
CorporationNon-profit
Incorporated
Jan 15, 1982 in OH
Enrollment address
401 N Ewing St
Attention: Him Department
Lancaster, OH 43130-3372
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
Fairfield Medical CenterCCN 360072 · All quality measures
Overall star rating
2 of 5
Type
Acute Care Hospitals
Ownership
Voluntary non-profit - Other
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
36D0031711Fairfield Medical Center401 N Ewing Street, Lancaster, OH 43130AccreditationFeb 8, 2027

National Provider Directory

National Provider Directory

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/f17aed19-e2f6-49d4-bba0-64508a2357d2/

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
Mark Vanderhoff Individual Corporate OfficerChief Nursing Officer Dec 14, 2020
Corporate DirectorVice President of Patient Care S Jul 15, 2019
Alan Greenslade Individual Corporate OfficerChief Administrative Officer Nov 2, 2015
Daniel J Fruth Individual Corporate DirectorBoard Member Jan 1, 2015
Mary Nash Individual Corporate OfficerChief Human Resources Officer Jul 10, 2023
Laura Tussing Individual Corporate OfficerBoard Member, Chair Jun 1, 2018
Corporate DirectorBoard Member, Chair Jun 1, 2018
Julie Grow Individual Corporate OfficerChief Financial Officer Aug 28, 2023
Natalie Furniss Individual Corporate DirectorBoard Member Jun 1, 2022
Michael Lieber Individual Corporate DirectorBoard Member Jun 1, 2022
Mark T Darnell Individual Corporate OfficerChief Medical Officer Feb 1, 2021
Marie Ward Individual Corporate DirectorBoard Member Aug 1, 2021
Melony Rarick Individual Corporate OfficerCorporate Compliance Cfficer Oct 27, 2019
Stephen Swick Individual Corporate DirectorBoard Member Jun 1, 2021
John Janoso Individual Corporate OfficerPresident and Ceo Oct 13, 2014
Laurianne F Scott Individual Corporate DirectorBoard Member Jun 1, 2018
Pamela Starlin Individual Corporate DirectorDirector May 1, 2012
W-2 Managing EmployeeDirector May 1, 2012
Angela Krile Individual Corporate DirectorBoard Member Jun 1, 2016
Theresa Anne Dyar Individual Corporate DirectorBoard Member Oct 1, 2017
Laura Moore Individual Corporate OfficerChief Business & Strategy Office Jul 11, 2016
Bradley a Hedges Individual Corporate DirectorBoard Member, Vice Chair Jun 1, 2018
Ron Burris Individual Corporate DirectorBoard Member Jun 1, 2021
Laurie Lach Individual Corporate DirectorBoard Member Aug 1, 2021
Ronald P Linehan Individual Corporate DirectorBoard Member Feb 28, 2018
Matthew Wideman Individual Corporate DirectorBoard Member Jun 1, 2019

Owners & managing parties with NPI records 5

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

All facility ownership & control disclosures 1

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

FacilityTypeRoleSince
Diley Ridge Medical CenterCanal Winchester, OH, CCN 360358 Hospital 5% Or Greater Direct Ownership Interest (30%) Dec 9, 2003

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

Practitioners 68

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.

View all 68

Affiliated clinicians 460

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

View all 460

NPI Registry JSON

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

{
    "created_epoch": "1131926400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1647216000000",
    "number": "1467433763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 N EWING ST",
            "city": "LANCASTER",
            "state": "OH",
            "postal_code": "431303372",
            "telephone_number": "740-687-8000",
            "fax_number": "740-687-8939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 N EWING ST",
            "city": "LANCASTER",
            "state": "OH",
            "postal_code": "431303372",
            "telephone_number": "740-687-8000",
            "fax_number": "740-687-8939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAIRFIELD MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-14",
        "last_updated": "2022-03-14",
        "certification_date": "2022-03-09",
        "status": "A",
        "authorized_official_last_name": "JANOSO",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "PRESIDENT AND CEO",
        "authorized_official_telephone_number": "740-687-8000",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "OH",
            "license": "1167",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4939179",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lancaster, OH

Sources for this page

Verify at the official NPI Registry.