NPIMap

Organization Active NPI

Defiance Hospital, Inc.

  • Clinical Medical Laboratory
  • Defiance, OH
National Provider Identifier
1740520147
Registry record updated Feb 21, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
236890 Issued in OH
Legal business name
DEFIANCE HOSPITAL, INC.
Practice address
1200 Ralston Ave
Defiance, OH 43512-1396
Phone
(419) 783-6955
NPI assigned
Feb 21, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2013

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

Authorized official

Name
Mr. Ronald Wachsman
Title
Sr VP Managed Care Reibursement
Phone
(419) 824-7577

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X 236890 OH Primary

Addresses

Primary practice location

1200 Ralston Ave
Defiance, OH 43512-1396

Mailing address

PO Box 632927
Cincinnati, OH 45263-2927
Phone (419) 478-3069

Other names 1

  • Defiance Regional Medical Center Former legal business name

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
36D0331203Defiance Regional Medical Center1200 Ralston Avenue, Defiance, OH 43512AccreditationFeb 27, 2027
36D0947440Defiance Regional Medical Center1200 Ralston Avenue, Defiance, OH 43512Provider-performed microscopyMay 24, 2027

National Provider Directory

National Provider Directory
Tax ID family
Defiance Hospital14 organizations share this tax ID, including this one

Other organizations with this tax ID 13

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

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1361404800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1361404800000",
    "number": "1740520147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 632927",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452632927",
            "telephone_number": "419-478-3069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 RALSTON AVE",
            "city": "DEFIANCE",
            "state": "OH",
            "postal_code": "435121396",
            "telephone_number": "419-783-6955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEFIANCE HOSPITAL, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-21",
        "last_updated": "2013-02-21",
        "status": "A",
        "authorized_official_last_name": "WACHSMAN",
        "authorized_official_first_name": "RONALD",
        "authorized_official_title_or_position": "SR VP MANAGED CARE REIBURSEMENT",
        "authorized_official_telephone_number": "419-824-7577",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "OH",
            "license": "236890",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Defiance Regional Medical Center",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Defiance, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.