Organization Active NPI

Defiance Regional Medical Center

  • Rural Acute Care Hospital
  • Defiance, OH
National Provider Identifier
1528068665
Registry record updated Feb 1, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Acute Care HospitalTaxonomy code 282NR1301X
License
1160 Issued in OH
Legal business name
DEFIANCE REGIONAL MEDICAL CENTER
Practice address
1200 Ralston Ave
Defiance, OH 43512-1396
Phone
(800) 477-4035
Fax
(419) 882-1352
NPI assigned
Jul 29, 2005
Organization subpart
Yes
Parent organization
PROMEDICA HEALTH SYSTEMAs reported in NPPES

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

National Provider Directory
Tax ID family
Defiance Hospital14 organizations share this tax ID, including this one
Part of
Promedica Health System

Other organizations with this tax ID 13

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

View all 13

Locations

1252 Ralston Ave
Ste 302
Defiance, OH 43512
Phone (419) 783-6996

1300 E 2nd St
Ste 106
Defiance, OH 43512

NPPES NPI Registry

Updated by the provider on Feb 1, 2011

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

Authorized official

Name
Ronald Wachsman
Title
Sr VP
Phone
(419) 824-7580

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Acute Care Hospital 282NR1301X 1160 OH Primary

Addresses

Primary practice location

1200 Ralston Ave
Defiance, OH 43512-1396

Mailing address

PO Box 632927
Cincinnati, OH 45263-2927
Phone (800) 477-4035

Other identifiers 1

IdentifierTypeStateIssuer
2079503MedicaidOH

NPI Registry JSON

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

{
    "created_epoch": "1122595200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1296518400000",
    "number": "1528068665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 632927",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452632927",
            "telephone_number": "800-477-4035",
            "fax_number": "419-882-1352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 RALSTON AVE",
            "city": "DEFIANCE",
            "state": "OH",
            "postal_code": "435121396",
            "telephone_number": "800-477-4035",
            "fax_number": "419-882-1352"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEFIANCE REGIONAL MEDICAL CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PROMEDICA HEALTH SYSTEM",
        "enumeration_date": "2005-07-29",
        "last_updated": "2011-02-01",
        "status": "A",
        "authorized_official_last_name": "WACHSMAN",
        "authorized_official_first_name": "RONALD",
        "authorized_official_title_or_position": "SR VP",
        "authorized_official_telephone_number": "419-824-7580"
    },
    "taxonomies": [
        {
            "code": "282NR1301X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Rural",
            "state": "OH",
            "license": "1160",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2079503",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Defiance, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.