NPIMap

Organization Active NPI

Upper Valley Medical Center

  • Rehabilitation Hospital Unit
  • Troy, OH
National Provider Identifier
1649288085
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Hospital UnitTaxonomy code 273Y00000X
License
1036 Issued in OH
Legal business name
UPPER VALLEY MEDICAL CENTER
Practice address
3130 N County Road 25a
Troy, OH 45373-1337
Phone
(937) 440-4000
Fax
(937) 440-7882
NPI assigned
Aug 3, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Timothy D. Snider
Title
Vice President Finance
Phone
(937) 440-7853

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Hospital Unit 273Y00000X 1036 OH Primary

Addresses

Primary practice location

3130 N County Road 25a
Troy, OH 45373-1337

Mailing address

3130 N County Road 25a
Troy, OH 45373-1337
Phone (937) 440-4000

Other identifiers 1

IdentifierTypeStateIssuer
8502258MedicaidOH

Other names 1

  • Sub Provider Rehab Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070508000147 OH Part A Provider - Hospital 4183527617 Practice locations: Troy, OH

Hospital certification: CCN 36T174

Legal name
UPPER VALLEY MEDICAL CENTER
Organization structure
CorporationNon-profit
Incorporated
Sep 10, 1926 in OH
Enrollment address
3130N County Road 25a
Troy, OH 45373-1337
Hospital Rehabilitation Unit
Hospital subgroups
Rehabilitation

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Inpatient rehabilitation facility

Medicare Care Compare
Listed as
Upper Valley Medical CenterCCN 36T174 · All quality measures
Ownership
Non-profit
Certified
Jan 1, 1989

National Provider Directory

National Provider Directory
Tax ID family
Upper Valley Medical Center Auxiliary7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

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

Ownership & related parties

All disclosed owners & managing parties 16

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Chad T Whelan Individual Corporate OfficerSystem Coo & Pres. MVH Aug 7, 2023
Corporate DirectorBoard Member Aug 7, 2023
Jennifer Goins Individual W-2 Managing EmployeeDirector Reimbursement & Chargemstr Jan 1, 2022
Michael C Riordan Individual Corporate OfficerPresident & Ceo Feb 1, 2022
Corporate DirectorBoard Member Feb 1, 2022
Cara Powers Individual Corporate OfficerChief Legal Officer Oct 1, 2023
W-2 Managing EmployeeChief Legal Officer Oct 1, 2023
Craig Ganger Individual Corporate OfficerSystem VP/Chief Financial Officer Jan 4, 2021
Corporate DirectorCorporate Treasurer Jan 4, 2021
W-2 Managing EmployeeSystem VP/Chief Financial Officer Jan 4, 2021
Lakmali C Ranathunga Individual Corporate DirectorBoard Member Jul 3, 2023
Robert Michael Kohut Individual Corporate DirectorBoard Member Jan 1, 2021
Trisha Wackler Individual Corporate DirectorBoard Member Jan 1, 2021
Premier Health Partners Organization, Dayton, OH Corporation 5% Or Greater Direct Ownership Interest Jan 1, 2018 100%
Operational/Managerial Control Jan 1, 2008
Upper Valley Medical Center Organization, Troy, OH Non-profit Operational/Managerial Control Jul 1, 1998
April T Anderson Individual Corporate DirectorBoard Member Jan 1, 2022
Kevin Harlan Individual Corporate OfficerPresident-Uvmc Sep 7, 2020
Corporate DirectorBoard Member Sep 7, 2020
W-2 Managing EmployeePresident-Uvmc Sep 7, 2020
Scott William Swabb Individual Corporate DirectorBoard Member Jan 1, 2023
Geoffrey Walker Individual Corporate DirectorCorporate Secretary Jul 1, 2018
W-2 Managing EmployeeSr. Special Advisory Counsel Oct 1, 2023
Ebaa S Rajab Individual Corporate DirectorBoard Member Jan 1, 2021
Jigar P Patel Individual Corporate DirectorBoard Member Jan 1, 2023

Owners & managing parties with NPI records 7

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Facilities with the same owner 6

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners & affiliated clinicians

Affiliated clinicians 2

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1154563200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1649288085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3130 N COUNTY ROAD 25A",
            "city": "TROY",
            "state": "OH",
            "postal_code": "453731337",
            "telephone_number": "937-440-4000",
            "fax_number": "937-440-7882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3130 N COUNTY ROAD 25A",
            "city": "TROY",
            "state": "OH",
            "postal_code": "453731337",
            "telephone_number": "937-440-4000",
            "fax_number": "937-440-7882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UPPER VALLEY MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SNIDER",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "VICE PRESIDENT FINANCE",
        "authorized_official_telephone_number": "937-440-7853",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "273Y00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Unit",
            "state": "OH",
            "license": "1036",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8502258",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sub Provider Rehab",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Troy, OH

Sources for this page

Verify at the official NPI Registry.