NPIMap

Organization Active NPI

Marion General Hospital

  • General Acute Care Hospital
  • Marion, IN
National Provider Identifier
1770679201
Registry record updated Jul 20, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
06-005011-1 Issued in IN
Legal business name
MARION GENERAL HOSPITAL
Practice address
441 N Wabash Ave
Marion, IN 46952-2612
Phone
(765) 662-1441
Fax
(765) 651-7351
NPI assigned
Oct 4, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2015

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

Authorized official

Name
Mr. Paul Usher
Title
Ceo
Phone
(765) 660-7001

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X 06-005011-1 IN Primary

Addresses

Primary practice location

441 N Wabash Ave
Marion, IN 46952-2612

Mailing address

441 N Wabash Ave
Marion, IN 46952-2612
Phone (765) 662-1441

Other identifiers 2

IdentifierTypeStateIssuer
100269230AMedicaidIN
000000076241OtherINBLUE CROSS ID

Other names 1

  • Marion General Hospital Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20080829000136 IN Part A Provider - Hospital 9133023625 3 other NPIs on this enrollment
Practice locations: Gas City, IN; Marion, IN; Swayzee, IN
O20220708000903 IN MDPP Supplier - in-Person MDPP Supplier 9133023625 Practice locations: Marion, IN

Hospital certification: CCN 150011

Legal name
MARION GENERAL HOSPITAL
Doing business as
MARION GENERAL HOSPITAL
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Jul 1, 1966
Last certification
Aug 16, 2018
Beds
99
Ownership / control type
Private (not for profit)
Organization structure
CorporationNon-profit
Incorporated
Mar 24, 1910 in IN
Enrollment address
441 N Wabash Ave
Marion, IN 46952-2612
Other Hospital Practice Location
Hospital subgroups
Acute care

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

Other NPIs with the same Medicare PAC ID 2

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

Other NPIs on the same Medicare enrollment 3

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

Care Compare: Hospital

Medicare Care Compare
Listed as
Marion General HospitalCCN 150011
Overall star rating
3 of 5
Type
Acute Care Hospitals
Ownership
Voluntary non-profit - Private
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory
Tax ID family
Phys Practice of MGH19 organizations share this tax ID, including this one

Other organizations with this tax ID 18

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

View all 18

Locations

330 N Wabash Ave
Ste G70
Marion, IN 46952
Phone (765) 660-6670

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
Sirajabid Khatib Individual Corporate DirectorBoard Member Jul 1, 2019
Cynthia Futrell Individual Corporate OfficerChief Nursing Officer Jul 23, 2015
Mohammad Nabi Sharif Individual Corporate DirectorBoard Member Jul 1, 2013
Dean B Ricks Individual Corporate DirectorSecretary of Medical Staff Dec 1, 2023
Barbara Ihrke Individual Corporate DirectorBoard Member Jul 1, 2024
Steven E Berry Individual Corporate DirectorBoard Vice Chair Jul 1, 2014
Kevin R Cates Individual Corporate DirectorBoard Secretary Jul 1, 2015
Shankaran Srikanth Individual Corporate DirectorVice Chairman Medical Staff Jul 1, 2009
Lezlie Winter Individual Corporate DirectorBoard Member Jul 1, 2018
Anthony Roberts Individual Corporate OfficerChief Financial Officer Jan 3, 2021
Stephen M Keller Individual Corporate DirectorBoard Member Jul 1, 2021
Stephanie Hilton Siebert Individual Corporate OfficerChief Administrative Officer May 1, 2015
Operational/Managerial ControlPresident/Chief Executive Officer May 1, 2015
Elizabeth E Gutierrez Individual Corporate DirectorBoard Treasurer Jul 1, 2021
Timothy J Dailey Individual Corporate DirectorBoard Chair Jul 1, 2014
Marion General Hospital Organization, Marion, IN Corporation Operational/Managerial Control Nov 19, 2007
James M Orrell Individual Corporate DirectorChief of Medical Staff Jul 1, 2014

Owners & managing parties with NPI records 8

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

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Marion General HospitalMarion, IN, CCN 15T011 Hospital Operational/Managerial Control Nov 19, 2007

Owned or controlled facilities with NPI records 4

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Facilities with the same owner 1

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

Practitioners & affiliated clinicians

Practitioners 116

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

View all 116

Affiliated clinicians 407

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

View all 407

NPI Registry JSON

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1437350400000",
    "number": "1770679201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "441 N WABASH AVE",
            "city": "MARION",
            "state": "IN",
            "postal_code": "469522612",
            "telephone_number": "765-662-1441",
            "fax_number": "765-651-7351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "441 N WABASH AVE",
            "city": "MARION",
            "state": "IN",
            "postal_code": "469522612",
            "telephone_number": "765-662-1441",
            "fax_number": "765-651-7351"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARION GENERAL HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-04",
        "last_updated": "2015-07-20",
        "status": "A",
        "authorized_official_last_name": "USHER",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "765-660-7001",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "IN",
            "license": "06-005011-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100269230A",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS ID",
            "identifier": "000000076241",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Marion General Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Marion, IN

Sources for this page

Verify at the official NPI Registry.