Firelands Regional Medical Center
Organization Active NPI Mental Health Clinic/Center (Including Community Mental Health Center) · Sandusky, OH
NPI 1629028600 · NPPES record last updated Feb 8, 2023
Key facts
- NPI
- 1629028600
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X
- Legal business name
- FIRELANDS REGIONAL MEDICAL CENTER
- Practice address
- 1925 Hayes Ave
Sandusky, OH 44870-4793 - Phone
- (419) 557-5177
- Fax
- (419) 557-5169
- NPI assigned
- May 11, 2006
- Organization subpart
- No
Authorized official
- Name
- Mr. Robert Moore
- Title
- Executive Vice President Legal
- Phone
- (419) 557-7400
Owners & managing parties with NPI records 9
-
Steven Benedict, M.D.
-
Scott Campbell, MD
-
Fredric Howard Itzkowitz, D.O.
-
Carlos G Lowell III, D.O.
-
William Patrick McGuinn, M.D.
-
Bradley W Mitchel, M.D.
-
Karl L Oberer, DO
Other NPIs on the same Medicare enrollment 7
Related certifications (CCN) 1
Affiliated clinicians 395
-
Lisa Jo Aichholz, CNP
-
Mohamed Alalwani, M.D.
-
Rugen M Alda, MD
-
Soufian Almahameed, M.D.
-
Lawrence Joseph Anderle III, DO, MPH
-
Mauricio Arruda, MD
-
Imad Asaad, M.D.
-
Heather Marie Auxier, CNP
-
Christopher E Avendano, M.D.
-
Billy Back, MD
-
Kevin Bailey, DO
-
Lauren Bailey, NP-C
-
Aziz Bakhous, M.D.
-
Benjamin Edward Ball, D.O.
-
Brendan W Bauer, MD
-
Dina Cynthia Bauer, DPM
-
Brian A Baxter, D.O.
Medicare Care Compare: Hospital
- Listed as
- Firelands Regional Medical Center
- Overall star rating
- ★★★★☆ 4 of 5
- Type
- Acute Care Hospitals
- Ownership
- Voluntary non-profit - Private
- Medicare certification status
- Active
- Emergency services
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in OH
Hospital certification: CCN 360025
- Legal name
- FIRELANDS REGIONAL MEDICAL CENTER
- Doing business as
- FIRELANDS PROFESSIONAL CENTER
- Certification status
- Active
- Provider type (POS)
- Hospital – Short-term
- Participating since
- Jul 1, 1966
- Last certification
- Aug 16, 2010
- Beds
- 400
- Ownership / control type
- Private (not for profit)
- Organization structure
- Corporation · Non-profit
- Incorporated
- Feb 25, 1919 in OH
- Enrollment address
- 1111 Hayes Ave
Sandusky, OH 44870-3323 - Hospital subgroups
- General, Acute care, Psychiatric, Rehabilitation
All disclosed owners & managing parties 47
| Name | Role | Since | Share |
|---|---|---|---|
| Steven Benedict |
Corporate Director | May 26, 2020 | |
| Justin Harris |
Corporate Director | May 9, 2022 | |
| Bryan Kasper |
Corporate Director |
May 5, 2008 | |
| John Hoty |
Corporate Director |
May 7, 2012 | |
| Maurice McDermond |
Corporate Director |
Oct 30, 2002 | |
| Roger Gundlach |
Corporate Director |
May 9, 2011 | |
| James Preston |
Corporate Director |
Feb 28, 1994 | |
| James Scherger |
Corporate Director | May 28, 2019 | |
| Kevin Kieffer |
Corporate Director | May 15, 2023 | |
| Richard R Keller |
Corporate Director |
Apr 29, 2002 | |
| Mary Hill |
Corporate Director |
Apr 25, 2016 | |
| William P McGuinn |
Corporate Director |
Apr 26, 2010 | |
| Jeremy L Normington-Slay |
Corporate Officer |
Oct 1, 2018 | |
| Operational/Managerial Control |
Oct 1, 2018 | ||
| Theodore Kastor |
Corporate Director |
May 9, 2011 | |
| Matthew Kosior |
Corporate Director | May 17, 2021 | |
| Fredric Howard Itzkowitz |
Corporate Director |
Apr 25, 2005 | |
| Carlos Lowell |
Corporate Director |
May 7, 2007 | |
| Karl Lee Oberer |
Corporate Director |
Apr 26, 2004 | |
| Wendy S Schmiedl |
Corporate Director |
May 6, 2013 | |
| Katherine Chesbro |
Corporate Director |
May 6, 2013 | |
| Thomas Foster |
Corporate Director |
Apr 23, 2018 | |
| James Wible |
Corporate Director |
Oct 30, 2002 | |
| Janice W Warner |
Corporate Director |
May 4, 2015 | |
| Allen Nickles |
Corporate Director |
Oct 30, 2002 | |
| Leon Wieber |
Corporate Director |
Oct 30, 2002 | |
| Curtis Johnson |
Corporate Director |
Apr 23, 2018 | |
| James Miller |
Corporate Director |
May 9, 2011 | |
| James Hart |
Corporate Director |
Apr 23, 2018 | |
| Scott M Campbell |
Corporate Director |
May 4, 2015 | |
| Steve Lichtcsien |
Corporate Director |
May 7, 2012 | |
| Chrissy Wostmann |
Corporate Director |
Apr 23, 2018 | |
| Lee a Alexakos |
Corporate Director |
May 4, 2015 | |
| Thomas B Williamson |
Corporate Director |
Jan 1, 2018 | |
| Gregory Graves |
Corporate Director | May 9, 2022 | |
| Robert Moore |
Corporate Officer |
Jan 24, 2022 | |
| Darlene M Crooks |
Corporate Director |
May 4, 2015 | |
| Luvada S Wilson |
Corporate Director |
May 5, 2014 | |
| Paula Rengel |
Corporate Director |
Oct 30, 2002 | |
| James Spicer |
Corporate Director |
May 25, 2004 | |
| W-2 Managing Employee |
May 25, 2004 | ||
| John Bacon |
Corporate Officer |
Mar 1, 1984 | |
| Bradley William Mitchel |
Corporate Director |
Apr 23, 2018 | |
| Kevin J Riley |
Corporate Officer |
Nov 28, 2022 | |
| Carol Wolfe |
Corporate Director |
Oct 30, 2002 | |
| Eugene Sanders |
Corporate Director |
May 6, 2013 | |
| Daniel Keller |
Corporate Director |
May 1, 2006 | |
| Timothy Mayles |
Corporate Director |
Apr 25, 2016 | |
| James Stouffer |
Corporate Director |
May 9, 2011 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20021030000000 | OH | Part a Provider - Hospital | 6103734645 |
4 other NPIs on this enrollment This NPI is an additional NPI on the enrollment |
| O20040415000236 | OH | Part B Supplier - Clinic/Group Practice | 6103734645 |
Receives reassigned benefits from 36 practitioners 6 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Sandusky, OH |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | OH | Yes | |
| Adult Mental Health Clinic/Center | 261QM0850X | OH | ||
| Adolescent and Children Mental Health Clinic/Center | 261QM0855X | OH |
Addresses
Primary practice location
1925 Hayes Ave
Sandusky, OH 44870-4793
Mailing address
1925 Hayes Ave
Sandusky, OH 44870-4793
Phone (419) 557-5177
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3293725 | Medicaid | OH | |
| 1168 | Other | OH | MACSIS UPI |
Other names
- Firelands Counseling & Recovery Services
Other providers in Sandusky, OH
- Firelands Regional Medical Center
- Firelands Regional Medical Center
- Firelands Regional Medical Center
- Firelands Regional Medical Center
- Firelands Regional Medical Center
- Firelands Regional Medical Center
- Firelands Regional Medical Center
- Firelands Regional Medical Center Family Practice Clinic
- First Choice Home Health Ohio Inc
- Fisher Drug Co.
All providers in Sandusky, OH · Mental Health Clinic/Center (Including Community Mental Health Center) in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 8, 2023. 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.