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Adams County Regional Medical Center

Organization Active NPI Critical Access Hospital · Seaman, OH

NPI 1851946909 · NPPES record last updated Jun 15, 2021

Key facts

NPI
1851946909
Entity type
Organization (NPI type 2)
Primary specialty
Critical Access Hospital 282NC0060X
Legal business name
ADAMS COUNTY REGIONAL MEDICAL CENTER
Practice address
230 Medical Center Dr
Seaman, OH 45679-8002
Phone
(937) 386-3400
Fax
(937) 386-3019
NPI assigned
Aug 6, 2019
Organization subpart
No

Authorized official

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

Owners & managing parties with NPI records 1

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

Owned or controlled facilities with NPI records 1

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

Other NPIs on the same Medicare enrollment 5

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

Other NPIs with the same Medicare PAC ID 6

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

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

Practitioners 51

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

View all 51

Affiliated clinicians 138

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

View all 138

Medicare Care Compare: Hospital

Listed as
Adams County Regional Medical Center CCN 361326
Overall star rating
★★★☆☆ 3 of 5
Type
Critical Access Hospitals
Ownership
Government - Local
Medicare certification status
Active (Provider of Services file)
Emergency services
Yes

Source: Medicare Care Compare.

Medicare participation

Medicare fee-for-service enrollment
Enrolled (2 enrollments) in OH

Hospital certification: CCN 361326

Legal name
ADAMS COUNTY REGIONAL MEDICAL CENTER
Certification status
Active
Provider type (POS)
Hospital – Critical access hospital
Participating since
Oct 1, 2004
Last certification
Mar 12, 2010
Beds
25
Ownership / control type
Local
Most recent change of ownership
Oct 1, 2019 (1 total)
Organization structure
Corporation · Non-profit
Incorporated
Oct 1, 2019 in OH
Enrollment address
230 Medical Center Dr
Seaman, OH 45679-8002
Other Hospital Practice Location

All disclosed owners & managing parties 10

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

NameRoleSinceShare
Pete R Dagenbach
Individual 		W-2 Managing Employee
Cfo		 Oct 1, 2019
Matthew a Armstrong
Individual 		Corporate Director
Director		 Oct 1, 2019
Alan Bird
Individual 		Corporate Officer
Ceo		 Oct 1, 2019 100%
Corporate Director
Director		 Oct 1, 2019
Dane R Clark
Individual 		Corporate Director Oct 1, 2019
Peggy Chalker
Individual 		Corporate Director
Director		 Oct 1, 2019
Jack a McCoy
Individual 		Corporate Director
Director		 Oct 1, 2019
Umb Bank National Association
Organization · Minneapolis, MN
Created for acquisition, Financial institution 		5% Or Greater Mortgage Interest Oct 1, 2019 100%
5% Or Greater Security Interest Oct 1, 2019
Sherri M Spencer
Individual 		Corporate Director
Director		 Oct 1, 2019
Chad Wilson
Individual 		Corporate Director
Director		 Oct 1, 2019
Roy Gustin
Individual 		Corporate Director
Director		 Oct 1, 2019

All facility ownership & control disclosures 1

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

FacilityTypeRoleSince
Acrmc Family Medicine
Winchester, OH · CCN 363431		 Rural health clinic Operational/Managerial Control (100%) Oct 1, 2019

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20191202001554 OH Part a Provider - Critical Access Hospital 8921431131 Receives reassigned benefits from 3 practitioners
Practice locations: Seaman, OH
O20200427002166 OH Part B Supplier - Clinic/Group Practice 8921431131 Receives reassigned benefits from 47 practitioners
5 other NPIs on this enrollment
Practice locations: Georgetown, OH; Seaman, OH; West Union, OH; Winchester, OH

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Access Hospital 282NC0060X Yes

Addresses

Primary practice location

230 Medical Center Dr
Seaman, OH 45679-8002

Mailing address

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

Other providers in Seaman, OH

All providers in Seaman, OH · Critical Access Hospital in Ohio

Sources for this page

Verify at the official NPI Registry.