Southwest Healthcare of Brown County Ohio, LLC

Primary specialty

General Acute Care HospitalTaxonomy code 282N00000X

License

1115 Issued in OH

Legal business name

SOUTHWEST HEALTHCARE OF BROWN COUNTY OHIO, LLC

Doing business as

Southwest Regional Medical Center

Practice address

425 Home St
Georgetown, OH 45121-1407

Phone

(937) 378-7500

Fax

(937) 378-7808

NPI assigned

May 20, 2006

Organization subpart

No

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

Authorized official

Name

Krishna P Surapaneni

Title

Ceo

Phone

(937) 378-7800

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Southwest Regional Medical Center Doing business as

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Hospital certification: CCN 360116

Legal name

SOUTHWEST REGIONAL MEDICAL CENTER

Certification status

Terminated Voluntary: merger or closure, Oct 30, 2014

Provider type (POS)

Hospital – Short-term

Participating since

Jul 1, 1966

Last certification

Jan 28, 2012

Beds

127

Ownership / control type

Private (for profit)

Most recent change of ownership

Jun 2, 2011 (5 total)

Facility address

425 Home Street
Georgetown, OH 45121

Locations

Subparts reporting this organization as parent 2

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Southwest Healthcare of Brown County Ohio, LLC

  dba Southwest Regional Medical Center - Bethel Rural Health Clinic

  • Rural Health Clinic/Center
  • Bethel, OH
  • NPI 1164755179
  NPPES parent name
• Southwest Healthcare of Brown County Ohio, LLC

  • Primary Care Clinic/Center
  • Bethel, OH
  • NPI 1699092825
  NPPES parent name

Practitioners 1

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

• Steven M. Kordis, M.D.

  • Emergency Medicine Physician
  • Milford, OH
  • NPI 1144386699
  NPD

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

{
    "created_epoch": "1148083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1395100800000",
    "number": "1558315010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 HOME ST",
            "city": "GEORGETOWN",
            "state": "OH",
            "postal_code": "451211407",
            "telephone_number": "937-378-7500",
            "fax_number": "937-378-7808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 HOME ST",
            "city": "GEORGETOWN",
            "state": "OH",
            "postal_code": "451211407",
            "telephone_number": "937-378-7500",
            "fax_number": "937-378-7808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHWEST HEALTHCARE OF BROWN COUNTY OHIO, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-20",
        "last_updated": "2014-03-18",
        "status": "A",
        "authorized_official_last_name": "SURAPANENI",
        "authorized_official_first_name": "KRISHNA",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "937-378-7800"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "OH",
            "license": "1115",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0050714",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1037667",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Southwest Regional Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lisa Smith, LCDCII
• Donald Snider
• Elizabeth Snodgrass
• Emily Souder, MED, LPCC-S, NCC
• Kristen Souder, PTA
• Southwest Ohio Anesthesia Inc
• Southwest Regional Home Care Inc.
• Tracy Spires, ED.S, NCSP
• State of Ohio Office of Budget and Management State Accounting (Ohio Veterans Home - Georgetown)
• Steeles Pharmacy Inc (Medicine Shoppe)

• General Acute Care Hospital in Georgetown, OH
• Providers in Georgetown, OH by specialty
• General Acute Care Hospital in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.