NPIMap

Organization Active NPI

Memorial Hospital of Union County

Doing business as Memorial Hospital

  • General Acute Care Hospital
  • Marysville, OH
National Provider Identifier
1720159338
Registry record updated Oct 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
Legal business name
MEMORIAL HOSPITAL OF UNION COUNTY
Doing business as
Memorial Hospital
Practice address
500 London Ave
Marysville, OH 43040-5512
Phone
(937) 578-2344
Fax
(937) 578-2217
NPI assigned
Nov 13, 2006
Last updated
Oct 7, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2024

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

Authorized official

Name
Mr. Olas A Hubbs
Title
President & Chief Executive Officer
Phone
(937) 578-2289

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X Primary

Addresses

Primary practice location

500 London Ave
Marysville, OH 43040-5512

Mailing address

500 London Ave
Marysville, OH 43040-5512
Phone (937) 578-2289

Other names 1

  • Memorial Hospital Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040505001396 OH Part B Supplier - Clinic/Group Practice 3577551621 Receives reassigned benefits from 9 practitioners
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Marysville, OH; Urbana, OH
O20070813000483 OH Part A Provider - Hospital 3577551621 Practice locations: Marysville, OH; Plain City, OH; Urbana, OH

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1720159338. Details of each certification follow.

Hospital certification: CCN 360092

Legal name
MEMORIAL HOSPITAL OF UNION COUNTY
Doing business as
MEMORIAL HOSPITAL
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Jul 1, 1966
Last certification
Dec 8, 2016
Beds
97
Ownership / control type
Local
Organization structure
GovernmentNon-profit
Enrollment address
500 London Avenue
Marysville, OH 43040-5512
Other Hospital Practice Location
Hospital subgroups
General, Acute care, Psychiatric

Other NPIs with the same Medicare PAC ID 3

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.

Care Compare: Hospital

Medicare Care Compare
Listed as
Memorial HospitalCCN 360092 · All quality measures
Overall star rating
5 of 5
Type
Acute Care Hospitals
Ownership
Government - Local
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
36D2322062Memorial Hospital Laboratory500 London Ave, Marysville, OH 43040Certificate of waiverApr 14, 2027

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

  • Union County

    dba Union County Health Department

    • Community Health Clinic/Center
    • Marysville, OH
    • NPI 1104875541

    Member Of

    NPD member

Ownership & related parties

All disclosed owners & managing parties 12

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

NameRoleSinceShare
Melissa Spencer Individual W-2 Managing EmployeeExecutive Administrative Assistant Apr 30, 2018
Union County Organization, Marysville, OH 5% Or Greater Direct Ownership Interest Jul 1, 1966 100%
Nikki Conklin Individual Corporate DirectorBoard Member Mar 1, 2010
Jeffrey Ehlers Individual Corporate OfficerCfo Mar 10, 1997
W-2 Managing EmployeeCfo Mar 10, 1997
Operational/Managerial ControlCfo Mar 10, 1997 100%
Gary McDowell Individual Corporate DirectorBoard Member/Chairman Jul 1, 2010
Olas Hubbs Individual Corporate OfficerPresident/Ceo Mar 8, 2004
Corporate Director Mar 8, 2004
W-2 Managing EmployeePresident/Ceo Mar 8, 2004
Gregory M. Sehnert Individual Corporate DirectorBoard Member Mar 1, 2021
Kent R. Hawkins Individual Corporate DirectorBoard Member Mar 1, 2020
Emily Elisabeth Wieringa Individual Corporate DirectorBoard Member/Vice Chair Mar 1, 2018
Tina Owens-Ruff Individual Corporate DirectorBoard Member Mar 1, 2019
Douglas D. Loudenslager Individual Corporate DirectorBoard Member/Secretary Treasurer Nov 16, 2017
Dennis Stone Individual Corporate DirectorBoard Member Mar 1, 2005

Owners & managing parties with NPI records 1

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

  • Union County

    dba Union County Health Department

    • Community Health Clinic/Center
    • Marysville, OH
    • NPI 1104875541

    5% Or Greater Direct Ownership Interest

    CMS ownership

Practitioners & affiliated clinicians

Practitioners 21

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 21

Affiliated clinicians 377

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

View all 377

NPI Registry JSON

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

{
    "created_epoch": "1163376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728259200000",
    "number": "1720159338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 LONDON AVE",
            "city": "MARYSVILLE",
            "state": "OH",
            "postal_code": "430405512",
            "telephone_number": "937-578-2289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 LONDON AVE",
            "city": "MARYSVILLE",
            "state": "OH",
            "postal_code": "430405512",
            "telephone_number": "937-578-2344",
            "fax_number": "937-578-2217"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEMORIAL HOSPITAL OF UNION COUNTY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-13",
        "last_updated": "2024-10-07",
        "certification_date": "2024-10-07",
        "status": "A",
        "authorized_official_last_name": "HUBBS",
        "authorized_official_first_name": "OLAS",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT & CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "937-578-2289",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Memorial Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Marysville, OH

Sources for this page

Verify at the official NPI Registry.