Active NPI
Firelands Regional Medical Center
- Community/Behavioral Health Agency
- Fremont, OH
National Provider Identifier
1639460892
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- License
- C 0800389
- Legal business name
- FIRELANDS REGIONAL MEDICAL CENTER
- Practice address
- 675 Bartson Road
Fremont, OH 43420 - Phone
- (419) 332-5524
- NPI assigned
- Apr 22, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Marsha O Mruk
- Title
- Vice President of Behavioral Health
- Phone
- (419) 557-5177
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | C 0800389 | OH | Primary |
Addresses
Primary practice location
675 Bartson Road
Fremont, OH 43420
Mailing address
1925 Hayes Ave
Sandusky, OH 44870-4737
Phone (419) 557-5179
Other names 1
- Firelands Couseling and Recovery Services
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1303430400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1303430400000",
"number": "1639460892",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1925 HAYES AVE",
"city": "SANDUSKY",
"state": "OH",
"postal_code": "448704737",
"telephone_number": "419-557-5179"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "675 BARTSON ROAD",
"city": "FREMONT",
"state": "OH",
"postal_code": "43420",
"telephone_number": "419-332-5524"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FIRELANDS REGIONAL MEDICAL CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2011-04-22",
"last_updated": "2011-04-22",
"status": "A",
"authorized_official_last_name": "MRUK",
"authorized_official_first_name": "MARSHA",
"authorized_official_middle_name": "O",
"authorized_official_title_or_position": "VICE PRESIDENT OF BEHAVIORAL HEALTH",
"authorized_official_telephone_number": "419-557-5177",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "OH",
"license": "C 0800389",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Firelands Couseling and Recovery Services",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Fremont, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 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.