NPIMap

Organization Active NPI

Medcentral Health System

  • Critical Access Hospital
  • Mansfield, OH
National Provider Identifier
1487706016
Registry record updated Apr 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Access HospitalTaxonomy code 282NC0060X
Legal business name
MEDCENTRAL HEALTH SYSTEM
Practice address
335 Glessner Ave
Mansfield, OH 44903-2265
Phone
(419) 526-8000
NPI assigned
Jan 16, 2007
Last updated
Apr 23, 2020By the provider in NPPES
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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Access Hospital 282NC0060X Primary

Addresses

Primary practice location

335 Glessner Ave
Mansfield, OH 44903-2265

Mailing address

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

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20101213000444 OH Part A Provider - Critical Access Hospital 9830007913 Practice locations: Shelby, OH

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1487706016. Details of each certification follow.

Hospital certification: CCN 361324

Legal name
MEDCENTRAL HEALTH SYSTEM
Doing business as
OHIOHEALTH SHELBY HOSPITAL
Certification status
Active
Provider type (POS)
Hospital – Critical access hospital
Participating since
Aug 2, 2004
Last certification
Dec 1, 2016
Beds
25
Ownership / control type
Private (not for profit)
Organization structure
CorporationNon-profit
Incorporated
Jun 17, 1903 in OH
Enrollment address
199 W Main St
Shelby, OH 44875-1490
Other Hospital Practice Location

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).

Care Compare: Hospital

Medicare Care Compare
Listed as
Ohiohealth Shelby HospitalCCN 361324 · All quality measures
Overall star rating
4 of 5
Type
Critical Access Hospitals
Ownership
Voluntary non-profit - Private
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
36D0344336Ohiohealth Shelby Hospital Lab199 West Main Street, Shelby, OH 44875AccreditationJan 2, 2027

National Provider Directory

National Provider Directory
Part of
McConnell Heart Health

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

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 131

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

View all 131

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": "1487706016",
    "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "335 GLESSNER AVE",
            "city": "MANSFIELD",
            "state": "OH",
            "postal_code": "449032265",
            "telephone_number": "419-526-8000"
        }
    ],
    "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": "282NC0060X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Critical Access",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mansfield, OH

Sources for this page

Verify at the official NPI Registry.