NPIMap

Organization Active NPI

Harrison Community Hospital, Inc.

  • Skilled Nursing Facility
  • Cadiz, OH
National Provider Identifier
1679785992
Registry record updated Apr 18, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
1022 Issued in OH
Legal business name
HARRISON COMMUNITY HOSPITAL, INC.
Practice address
951 E Market St
Cadiz, OH 43907-9799
Phone
(740) 942-4631
Fax
(740) 942-2749
NPI assigned
May 7, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2017

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

Authorized official

Name
Mr. John Deblasis
Title
Vice President
Phone
(740) 942-6201

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 1022 OH Primary

Addresses

Primary practice location

951 E Market St
Cadiz, OH 43907-9799

Mailing address

951 E Market St
Cadiz, OH 43907-9799
Phone (740) 942-4631

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100901000868 OH Part A Provider - Critical Access Hospital 3173511540 1 other NPI on this enrollment
Practice locations: Cadiz, OH

Hospital certification: CCN 36Z311

Legal name
HARRISON COMMUNITY HOSPITAL INC.
Organization structure
CorporationNon-profit
Incorporated
Feb 23, 1965 in OH
Enrollment address
951E Market St
Cadiz, OH 43907-9749
Other Hospital Practice Location

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).

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Harrison Community Hosp4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

Ownership & related parties

All disclosed owners & managing parties 17

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

NameRoleSinceShare
Michael Silva Individual Corporate DirectorTreasurer Apr 1, 2021
Alex Incian Individual Corporate DirectorDirector Accounting-Controller Mar 20, 2025
W-2 Managing Employee Mar 20, 2025
Albert Wright Individual Operational/Managerial Control Apr 1, 2021
Douglass Harrison Individual Corporate DirectorBoard Member Apr 1, 2021
Thomas Johnson Individual Corporate DirectorBoard Member Apr 1, 2021
Shaun Roe Individual Corporate DirectorBoard Member Apr 1, 2021
Judy Bruno Individual Corporate DirectorPresident & Ceo Mar 20, 2025
W-2 Managing Employee Mar 20, 2025
Garen Rhome Individual Corporate DirectorBoard Member Nov 16, 2021
Angela Hannahs Individual Corporate DirectorBoard Member Apr 1, 2021
William Frank Individual Corporate DirectorBoard Member Apr 1, 2021
West Virginia United Health System, Inc. Organization, Morgantown, WV Corporation, Non-profit 5% Or Greater Indirect Ownership Interest Apr 1, 2021 100%
Wendy McKivitz Individual Corporate DirectorBoard Member Mar 20, 2025
Kent Gallagher Individual Corporate DirectorBoard Member Apr 1, 2021
Jonathan Kirkland Individual Corporate DirectorBoard Member Jul 26, 2022
James L Comerci Individual Corporate DirectorBoard Member Aug 11, 2024
Sandi Thompson Individual Corporate DirectorBoard Member Apr 1, 2021
Kenneth Phillips Individual Corporate DirectorBoard Member Apr 1, 2021

Owners & managing parties with NPI records 2

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

Facilities with the same owner 1

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

Practitioners 10

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

NPI Registry JSON

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

{
    "created_epoch": "1178496000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1492473600000",
    "number": "1679785992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "951 E MARKET ST",
            "city": "CADIZ",
            "state": "OH",
            "postal_code": "439079799",
            "telephone_number": "740-942-4631",
            "fax_number": "740-942-2749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "951 E MARKET ST",
            "city": "CADIZ",
            "state": "OH",
            "postal_code": "439079799",
            "telephone_number": "740-942-4631",
            "fax_number": "740-942-2749"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARRISON COMMUNITY HOSPITAL, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-07",
        "last_updated": "2017-04-18",
        "status": "A",
        "authorized_official_last_name": "DEBLASIS",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "740-942-6201",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "OH",
            "license": "1022",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cadiz, OH

Sources for this page

Verify at the official NPI Registry.