NPIMap

Organization Active NPI

H.B. Magruder Memorial Hospital

Doing business as Magruder Hospital

  • Critical Access Hospital
  • Port Clinton, OH
National Provider Identifier
1922079532
Registry record updated Dec 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Access HospitalTaxonomy code 282NC0060X
License
1252 Issued in OH
Legal business name
H.B. MAGRUDER MEMORIAL HOSPITAL
Doing business as
Magruder Hospital
Practice address
615 Fulton St
Port Clinton, OH 43452-2001
Phone
(419) 734-3131
NPI assigned
Jan 31, 2006
Last updated
Dec 11, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2024

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

Authorized official

Name
Nick Marsico
Title
President/Ceo
Phone
(419) 734-3131

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X
Critical Access Hospital 282NC0060X 1252 OH Primary

Addresses

Primary practice location

615 Fulton St
Port Clinton, OH 43452-2001

Mailing address

615 Fulton St
Port Clinton, OH 43452-2001
Phone (419) 734-3131

Other names 1

  • Magruder Hospital Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20031205000057 OH Part B Supplier - Clinic/Group Practice 8921915786 Receives reassigned benefits from 23 practitioners
1 other NPI on this enrollment
Practice locations: Port Clinton, OH
O20061104000080 OH Part A Provider - Critical Access Hospital 8921915786 Receives reassigned benefits from 6 practitioners
Practice locations: Port Clinton, OH; Oak Harbor, OH

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1922079532. Details of each certification follow.

Hospital certification: CCN 361314

Legal name
H.B. MAGRUDER MEMORIAL HOSPITAL
Doing business as
MAGRUDER HOSPITAL
Certification status
Active
Provider type (POS)
Hospital – Critical access hospital
Participating since
Dec 1, 2002
Last certification
Dec 18, 2003
Beds
15
Ownership / control type
Private (not for profit)
Organization structure
CorporationNon-profit
Incorporated
Jan 29, 1940 in OH
Enrollment address
615 Fulton St
Port Clinton, OH 43452-2001
Other Hospital Practice Location

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

Other NPIs with the same Medicare PAC ID 1

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

Other NPIs on the same Medicare enrollment 1

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

Care Compare: Hospital

Medicare Care Compare
Listed as
Magruder HospitalCCN 361314 · All quality measures
Overall star rating
3 of 5
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

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Locations

611 Fulton St
Ste C
Port Clinton, OH 43452
Phone (419) 732-6500

611 Fulton St
Ste E
Port Clinton, OH 43452
Phone (419) 301-4380

611 Fulton St
Ste F
Port Clinton, OH 43452
Phone (419) 732-6776

615 Fulton St
Ste F
Port Clinton, OH 43452

621 Fulton St
Port Clinton, OH 43452
Phone (419) 301-4328

730 Jefferson St
Port Clinton, OH 43452
Phone (419) 301-4335

Ownership & related parties

All disclosed owners & managing parties 24

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

NameRoleSinceShare
Nancy Osborn Individual Corporate Director Dec 5, 2003
Alison Falls Individual Corporate Director Jul 30, 2019
Jill R Crawford Individual W-2 Managing Employee Jan 4, 2016
Operational/Managerial ControlDirector Jan 4, 2016
Paul Druckenmiller Individual Corporate Director Apr 24, 2007
Michael Libben Individual Corporate Director Jul 30, 2019
Kevin Sneider Individual Corporate Director Apr 29, 2008
Greg Deerhake Individual Corporate Director May 26, 2009
Jason Kraus Individual W-2 Managing Employee Oct 7, 2012
Operational/Managerial ControlDirector Oct 7, 2012
Robert Goshia Individual W-2 Managing EmployeeAd;VP Finance & Cfo Aug 2, 2023
Maria Crosser Individual Corporate Director May 26, 2009
Ronald Miller Individual Corporate Director May 25, 1999
Nicholas Marisco Individual Corporate Director Jan 12, 2006
W-2 Managing Employee Jan 12, 2006
Operational/Managerial ControlPresident and Ceo Jan 12, 2006
Delbert a Hatt Individual W-2 Managing Employee Dec 21, 2020
Operational/Managerial Control Dec 21, 2020
Douglas Focht Individual Corporate Director Apr 29, 1997
Mark Sprenger Individual Corporate Director May 31, 2022
Deborah Hall Individual W-2 Managing Employee Apr 16, 2007
Operational/Managerial ControlDirector Apr 16, 2007
Barry Cover Individual Corporate Director Apr 24, 2018
Edmund Neumann Individual W-2 Managing Employee May 20, 2024
Kimberly D Schreiner Individual Corporate Director Aug 19, 2019
W-2 Managing EmployeeVP Nursing and Cno Aug 19, 2019
Mark Hablitzel Individual Corporate Director Apr 24, 2007
Toni Magsig Individual W-2 Managing Employee Dec 8, 1983
Operational/Managerial ControlDirector Dec 8, 1983
David Soderberg Individual Corporate Director Apr 25, 1995
Jeff Dornbusch Individual Corporate Director Sep 27, 2016
Christopher Singerling Individual Corporate Director May 31, 2022

Owners & managing parties with NPI records 1

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

Practitioners & affiliated clinicians

Practitioners 28

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 28

Affiliated clinicians 210

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

View all 210

NPI Registry JSON

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

{
    "created_epoch": "1138665600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733875200000",
    "number": "1922079532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "615 FULTON ST",
            "city": "PORT CLINTON",
            "state": "OH",
            "postal_code": "434522001",
            "telephone_number": "419-734-3131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 FULTON ST",
            "city": "PORT CLINTON",
            "state": "OH",
            "postal_code": "434522001",
            "telephone_number": "419-734-3131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "H.B. MAGRUDER MEMORIAL HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-31",
        "last_updated": "2024-12-11",
        "certification_date": "2024-12-11",
        "status": "A",
        "authorized_official_last_name": "MARSICO",
        "authorized_official_first_name": "NICK",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "419-734-3131"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "282NC0060X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Critical Access",
            "state": "OH",
            "license": "1252",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Magruder Hospital",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Magruder Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Port Clinton, OH

Sources for this page

Verify at the official NPI Registry.