Organization Active NPI

Adams County Hospital

Doing business as Adams County Regional Medical Center

  • Family Medicine Physician
  • Georgetown, OH
National Provider Identifier
1821578246
Registry record updated Sep 12, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
ADAMS COUNTY HOSPITAL
Doing business as
Adams County Regional Medical Center
Adams County Regional Medical Center (ACRMC) Family Medicine
Practice address
900 Mount Orab Pike
Georgetown, OH 45121
Phone
(937) 386-3075
NPI assigned
Aug 15, 2018
Last updated
Sep 12, 2018By the provider in NPPES
Organization subpart
Yes
Parent organization
ADAMS COUNTY HOSPITALAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 12, 2018

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

Authorized official

Name
Pete Dagenbach
Title
Cfo
Phone
(937) 386-3400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X Primary

Addresses

Primary practice location

900 Mount Orab Pike
Georgetown, OH 45121

Mailing address

230 Medical Center Dr
Seaman, OH 45679-8002
Phone (937) 386-3400

Other names 2

  • Adams County Regional Medical Center Doing business as
  • Adams County Regional Medical Center (ACRMC) Family Medicine Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Part of
Adams County Hosp

Ownership & related parties

Change-of-ownership history 1

DateEventCounterparty
Oct 1, 2019 Change of OwnershipThis provider was the seller Adams County Regional Medical Center Family Medicine (Acrmc)CCN 363418, OH, NPI 1629628920

Change of ownership 1

Medicare changes of ownership in which this facility was the buyer or the seller.

NPI Registry JSON

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

{
    "created_epoch": "1534291200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1536710400000",
    "number": "1821578246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "230 MEDICAL CENTER DR",
            "city": "SEAMAN",
            "state": "OH",
            "postal_code": "456798002",
            "telephone_number": "937-386-3400",
            "fax_number": "937-386-3459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 MOUNT ORAB PIKE",
            "city": "GEORGETOWN",
            "state": "OH",
            "postal_code": "45121",
            "telephone_number": "937-386-3075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADAMS COUNTY HOSPITAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ADAMS COUNTY HOSPITAL",
        "enumeration_date": "2018-08-15",
        "last_updated": "2018-09-12",
        "status": "A",
        "authorized_official_last_name": "DAGENBACH",
        "authorized_official_first_name": "PETE",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "937-386-3400"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Adams County Regional Medical Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Adams County Regional Medical Center (ACRMC) Family Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Georgetown, OH

Sources for this page

Verify at the official NPI Registry.