Medcentral Health System
Organization Active NPI Critical Access Hospital · Mansfield, OH
NPI 1487706016 · NPPES record last updated Apr 23, 2020
Key facts
- NPI
- 1487706016
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Critical Access Hospital 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
- Organization subpart
- Yes
- Parent organization (as reported)
- OHIO HEALTH CORPORATION
Authorized official
- Name
- Mr. Michael P Browning
- Title
- Cfo, Ohiohealth
- Phone
- (614) 544-4161
Owners & managing parties with NPI records 4
-
Jennifer L Papp, DO
Other NPIs with the same Medicare PAC ID 3
Member of 1
Related certifications (CCN) 1
Facilities with the same owner 2
Practitioners 1
-
Ajay Chawla, MD
Affiliated clinicians 131
-
Hamzah Abu-Sbeih, MD
-
Hussein Adly, M.D.
-
Maryam Ahmed, MD
-
Laura E Avery, MD
-
Robert E Barkett, MD
-
Garrett Michael Bassett, D.O.
-
Carter Ellis Battista, D.O.
-
Yohannes Bayissa, M.D.
-
Matthew Cole Bernhard, M.D.
-
Adam J Bihl, M.D.
-
Emily Sue Bowman, CNP
-
Melissa Branham, NP
-
Tabbitha Danielle Branham, FNP-C
-
Nicholas James Brickner, M.D.
-
Daniel D Burwell, DO
-
Amber Campbell, CNP
-
Tammy Canfield, N.P
-
Nicholas Capaldo, MD
Medicare Care Compare: Hospital
- Listed as
- Ohiohealth Shelby Hospital
- Overall star rating
- ★★★★☆ 4 of 5
- Type
- Critical Access Hospitals
- Ownership
- Voluntary non-profit - Private
- Medicare certification status
- Active
- Emergency services
- Yes
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 36D0344336 | Ohiohealth Shelby Hospital Lab | Accreditation | Jan 2, 2027 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OH
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
- Corporation · Non-profit
- Incorporated
- Jun 17, 1903 in OH
- Enrollment address
- 199 W Main St
Shelby, OH 44875-1490
All disclosed owners & managing parties 23
| Name | Role | Since | Share |
|---|---|---|---|
| John Schwemer |
Corporate Director |
Feb 1, 2020 | |
| Wade Giffin |
Corporate Director |
Jul 1, 2021 | |
| Andy Rose |
Corporate Officer |
Jul 1, 2023 | |
| Corporate Director |
Jul 1, 2021 | ||
| Nicholas P Honda |
Corporate Director |
Jan 1, 2024 | |
| Donna James |
Corporate Officer |
Jul 1, 2021 | |
| Corporate Director |
Jul 1, 2021 | ||
| Michael Coleman |
Corporate Director |
Jul 1, 2020 | |
| Stephen Markovich |
Corporate Officer |
Jul 1, 2019 | |
| W-2 Managing Employee |
Jul 1, 2019 | ||
| Sandy Doyle-Ahern |
Corporate Director |
Jul 1, 2023 | |
| Ohiohealth Corporation |
Operational/Managerial Control | Mar 1, 2014 | |
| David Harrison |
Corporate Director |
Jul 1, 2020 | |
| Arvind Mark Malik |
Corporate Director |
Jan 1, 2024 | |
| Carolyn S Kile |
Corporate Director |
Jul 1, 2023 | |
| Jeffrey D Hutchison |
Corporate Director |
Jul 1, 2021 | |
| Michael P Browning |
Corporate Officer |
Jun 3, 2019 | |
| Linda Hondros |
Corporate Officer |
Jul 1, 2024 | |
| Corporate Director |
Jul 1, 2019 | ||
| Karen Cook |
Corporate Director |
Oct 1, 2017 | |
| Mike Mahaffey |
Corporate Director |
Jul 1, 2023 | |
| Gregory Palmer |
Corporate Director |
Mar 1, 2014 | |
| Peggy Simmons |
Corporate Director |
Jan 1, 2024 | |
| Joseph S Lyren |
Corporate Director |
Mar 27, 2017 | |
| W-2 Managing Employee | Mar 27, 2017 | ||
| Jennifer Lynn Papp |
Corporate Director |
Oct 1, 2023 | |
| David Eichinger |
Corporate Director |
Jul 1, 2017 | |
| Elizabeth Ingram |
Corporate Officer |
Jul 1, 2024 | |
| Corporate Director |
Jul 1, 2015 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20101213000444 | OH | Part a Provider - Critical Access Hospital | 9830007913 | Practice locations: Shelby, OH |
National Provider Directory
- Part of
- Riverside Methodist Hospital
Locations
3430 Ohiohealth Pkwy
Fl 3
Columbus, OH 43202
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Critical Access Hospital | 282NC0060X | Yes |
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
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2529642 | Medicaid | OH |
Other providers in Mansfield, OH
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- Darienne R Meador
- Zakiya Meadows
- Emily Wynne Meagrow
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- Medcentral Health System
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All providers in Mansfield, OH · Critical Access Hospital in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 23, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.