Memorial Hospital of Union County
Organization Active NPI General Acute Care Hospital · Marysville, OH
NPI 1720159338 · NPPES record last updated Oct 7, 2024
Key facts
- NPI
- 1720159338
- Entity type
- Organization (NPI type 2)
- Primary specialty
- General Acute Care Hospital 282N00000X
- Legal business name
- MEMORIAL HOSPITAL OF UNION COUNTY
- Practice address
- 500 London Ave
Marysville, OH 43040-5512 - Phone
- (937) 578-2344
- Fax
- (937) 578-2217
- NPI assigned
- Nov 13, 2006
- Organization subpart
- No
Authorized official
- Name
- Mr. Olas A Hubbs
- Title
- President & Chief Executive Officer
- Phone
- (937) 578-2289
Owners & managing parties with NPI records 1
Other NPIs on the same Medicare enrollment 1
Other NPIs with the same Medicare PAC ID 3
Member of 1
Practitioners 46
-
Amy Cohagan, DO
-
Emily Kathleen Eames, PAC
-
Cassidy Alexander Fox, APRN, FNP
-
Debra Lee Gardner, CNP
-
Devin L Grappy, NP
-
Jessica Marie Gregor, PA-C
-
Ethan William Hines, M.D.
-
Mackenzie Hurley, CNP
-
Lori A Iverson, PA
-
Jackson Macdonald, PA-C
-
Kurt Jeffrey Marks, PA-C
-
Robert T Nowell, DO
-
Alaney Oney, PA-C
-
Ryan R Ristow, MD
-
Patricia Robitaille, M.D.
-
Erin Smith, C.N.P.
-
Stephanie Sparks, PA-C, ATC, MED, MSPS
-
Brenna Stump, PA-C
-
Lindsay West, NP
-
Amy Winters, CNP
Affiliated clinicians 377
-
Ronney Abaza, M.D.
-
Angela D. Adams, PA-C
-
John E. Adams II, D.O.
-
Kathryn L Adams, APRN-CNP
-
Muhammad R. Afzal, MBBS
-
Umair S. Ahmad, MD
-
Aijaz Ahmed, M.D.
-
Ali Ajam, MD
-
Challa Ajit, MD
-
Trent Davis Albright, M.D.
-
Roger G Amigo, D.O.
-
Martha Anderson, DPM
-
Ramesh Annadurai, M.D.
-
Marc A Antonchak, M.D.
-
Courtney R. Arn, CNP
-
Joel D Ascher, MD
-
Karim T. Attia, MD
-
Chelsea Austen, PA-C
-
Daniel L. Badenhop, M.D.
-
Eric P. Bailey, APRN-CNP
-
Cindy M. Baker, MD
-
Ragavendra R. Baliga, MBBS
-
Adam Barker, M.D.
Medicare Care Compare: Hospital
- Listed as
- Memorial Hospital
- Overall star rating
- ★★★★★ 5 of 5
- Type
- Acute Care Hospitals
- Ownership
- Government - Local
- Medicare certification status
- Active
- Emergency services
- Yes
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 36D2322062 | Memorial Hospital Laboratory | Certificate of waiver | Apr 14, 2027 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in OH
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
- Government · Non-profit
- Enrollment address
- 500 London Avenue
Marysville, OH 43040-5512 - Hospital subgroups
- General, Acute care, Psychiatric
All disclosed owners & managing parties 12
| Name | Role | Since | Share |
|---|---|---|---|
| Melissa Spencer |
W-2 Managing Employee |
Apr 30, 2018 | |
| Union County |
5% Or Greater Direct Ownership Interest | Jul 1, 1966 | 100% |
| Nikki Conklin |
Corporate Director |
Mar 1, 2010 | |
| Jeffrey Ehlers |
Corporate Officer |
Mar 10, 1997 | |
| W-2 Managing Employee |
Mar 10, 1997 | ||
| Operational/Managerial Control |
Mar 10, 1997 | 100% | |
| Gary McDowell |
Corporate Director |
Jul 1, 2010 | |
| Olas Hubbs |
Corporate Officer |
Mar 8, 2004 | |
| Corporate Director | Mar 8, 2004 | ||
| W-2 Managing Employee |
Mar 8, 2004 | ||
| Gregory M. Sehnert |
Corporate Director |
Mar 1, 2021 | |
| Kent R. Hawkins |
Corporate Director |
Mar 1, 2020 | |
| Emily Elisabeth Wieringa |
Corporate Director |
Mar 1, 2018 | |
| Tina Owens-Ruff |
Corporate Director |
Mar 1, 2019 | |
| Douglas D. Loudenslager |
Corporate Director |
Nov 16, 2017 | |
| Dennis Stone |
Corporate Director |
Mar 1, 2005 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 |
National Provider Directory
Locations
17853 State Route 31
Marysville, OH 43040
Phone (937) 578-4200
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Acute Care Hospital | 282N00000X | Yes |
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
- Memorial Hospital
Other providers in Marysville, OH
- Erin Brooke Mellick
- Memorial Hospital of Union County
- Memorial Hospital of Union County
- Memorial Hospital of Union County
- Memorial Hospital of Union County
- Memorial Hospital of Union County
- Danielle Mendiola
- Christina Metzger
- Michael Halasa, DDS
- Mid-Ohio Radiology, Inc.
All providers in Marysville, OH · General Acute Care Hospital in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 7, 2024. 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.