NPIMap

Organization Active NPI

Blanchard Valley Regional Health Center

Doing business as Bluffton Hospital

  • Critical Access Hospital
  • Bluffton, OH
National Provider Identifier
1831137827
Registry record updated Feb 17, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Access HospitalTaxonomy code 282NC0060X
License
1101 Issued in OH
Legal business name
BLANCHARD VALLEY REGIONAL HEALTH CENTER
Doing business as
Bluffton Hospital
Practice address
139 Garau St
Bluffton, OH 45817-1027
Phone
(419) 358-9010
NPI assigned
Jun 3, 2006
Last updated
Feb 17, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2014

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

Authorized official

Name
Dave Cytlak
Title
VP Finance
Phone
(419) 423-5497

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Access Hospital 282NC0060X 1101 OH Primary

Addresses

Primary practice location

139 Garau St
Bluffton, OH 45817-1027

Mailing address

1900 South Main St
Findlay, OH 45840-1239
Phone (419) 358-9010

Other identifiers 2

IdentifierTypeStateIssuer
2497678MedicaidOH
1101OtherOHDEPT OF HEALTH HOSPITAL #

Other names 1

  • Bluffton Hospital Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040816000537 OH Part A Provider - Critical Access Hospital 3971404187 Practice locations: Bluffton, OH; Ottawa, OH

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1831137827. Details of each certification follow.

Hospital certification: CCN 361322

Legal name
BLANCHARD VALLEY REGIONAL HEALTH CENTER
Doing business as
BLUFFTON HOSPITAL
Certification status
Active
Provider type (POS)
Hospital – Critical access hospital
Participating since
May 1, 2004
Last certification
Sep 12, 2008
Beds
25
Ownership / control type
Private (not for profit)
Organization structure
CorporationNon-profit
Incorporated
Jul 6, 1982 in OH
Enrollment address
139 Garau St
Bluffton, OH 45817-1027
Other Hospital Practice Location

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

Other NPIs with the same Medicare PAC ID 7

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

Care Compare: Hospital

Medicare Care Compare
Listed as
Bluffton HospitalCCN 361322 · All quality measures
Type
Critical Access 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
Blanchard Valley Hospital8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

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

Ownership & related parties

All disclosed owners & managing parties 18

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

NameRoleSinceShare
Frank Cosiano Individual Corporate DirectorBoard Member Jul 1, 2015
Richard Michael Polder Individual Corporate DirectorBoard Member Aug 30, 2012
Dan Kennard Individual Corporate DirectorBoard Member Jul 1, 2021
Blanchard Valley Health System Organization, Findlay, OH Corporation 5% Or Greater Direct Ownership Interest Jul 1, 1995 100%
Michael Brough Individual Corporate DirectorBoard Member Jul 1, 2021
Elizabeth Kroetz Individual Corporate DirectorBoard Member Jul 1, 2021
Ginger Jones Individual Corporate DirectorBoard Member May 1, 2015
Jeffery Shrader Individual Corporate DirectorBoard Member Jul 1, 2021
Adele Webb Individual Corporate DirectorBoard Member Jan 1, 2018
Donald Malarky Individual Corporate DirectorBoard Member Jul 1, 2023
Kimberly K Stumpp Individual Corporate DirectorBoard Member Aug 30, 2012
Annette Edgington Individual Corporate DirectorBoard Member Jul 1, 2023
Myron Lewis Individual Corporate OfficerCeo Jan 1, 2021
Corporate DirectorBoard Member Jan 1, 2021
W-2 Managing EmployeeCeo Jan 1, 2021
Richard States Individual Corporate Director Oct 31, 2019
James PF Dowling Individual Corporate DirectorBoard Member Jan 1, 2018
David Cytlak Individual Corporate OfficerChief Financial Officer Jan 1, 2010
William Hopkins Individual Corporate DirectorBoard Member Jul 1, 2022
John Reineke Individual Corporate Director Jul 1, 2018

Owners & managing parties with NPI records 3

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

Facilities with the same owner 6

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

Practitioners & affiliated clinicians

Affiliated clinicians 187

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

View all 187

NPI Registry JSON

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

{
    "created_epoch": "1149292800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1392595200000",
    "number": "1831137827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 SOUTH MAIN ST",
            "city": "FINDLAY",
            "state": "OH",
            "postal_code": "458401239",
            "telephone_number": "419-358-9010",
            "fax_number": "419-423-5550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "139 GARAU ST",
            "city": "BLUFFTON",
            "state": "OH",
            "postal_code": "458171027",
            "telephone_number": "419-358-9010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLANCHARD VALLEY REGIONAL HEALTH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-03",
        "last_updated": "2014-02-17",
        "status": "A",
        "authorized_official_last_name": "CYTLAK",
        "authorized_official_first_name": "DAVE",
        "authorized_official_title_or_position": "VP FINANCE",
        "authorized_official_telephone_number": "419-423-5497"
    },
    "taxonomies": [
        {
            "code": "282NC0060X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Critical Access",
            "state": "OH",
            "license": "1101",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2497678",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPT OF HEALTH HOSPITAL #",
            "identifier": "1101",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bluffton Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bluffton, OH

Sources for this page

Verify at the official NPI Registry.