NPIMap

Organization Active NPI

Van Wert County Hospital Association

Doing business as Van Wert Health

  • General Acute Care Hospital
  • Van Wert, OH
National Provider Identifier
1942267760
Registry record updated Mar 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
Legal business name
VAN WERT COUNTY HOSPITAL ASSOCIATION
Doing business as
Van Wert Health
Practice address
Van Wert Health
1250 S Washington St
Van Wert, OH 45891-2551
Phone
(419) 238-2390
Fax
(419) 238-0692
NPI assigned
Apr 26, 2006
Last updated
Mar 17, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2022

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

Authorized official

Name
Edgar Silalahi
Title
Chief Financial Officer
Phone
(419) 238-8870

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X NU Primary

Addresses

Primary practice location

Van Wert Health
1250 S Washington St
Van Wert, OH 45891-2551

Mailing address

Van Wert Health
1250 S Washington St
Van Wert, OH 45891-2551
Phone (419) 238-2390

Other identifiers 9

IdentifierTypeStateIssuer
000000030033OtherOHANTHEM PHYSICIAN BILLING
=========OtherOHMEDICAL MUTUAL PHYSICIAN
=========OtherOHWORKMEN COMPENSATION PHY.
000000184281OtherOHANTHEM HOSPITAL PROVIDER
9027663MedicaidOH
=========OtherOHWORKMENS COMPENSATION HOS
=========OtherOHMEDICAL MUTUAL HOSPITAL
3600711OtherOHMEDICARE CARRIER PROVIDER
CK1277OtherOHMEDICARE RAILROAD

Other names 1

  • Van Wert Health Doing business as

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040728001188 OH Part B Supplier - Clinic/Group Practice 3173419405 Receives reassigned benefits from 1 practitioner
1 other NPI on this enrollment
Practice locations: Van Wert, OH
O20071120000555 OH Part A Provider - Hospital 3173419405 Practice locations: Van Wert, OH; Rockford, OH

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1942267760. Details of each certification follow.

Hospital certification: CCN 360071

Legal name
VAN WERT COUNTY HOSPITAL ASSOCIATION
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Jul 1, 1966
Last certification
Sep 17, 2017
Beds
120
Ownership / control type
Private (not for profit)
Organization structure
CorporationNon-profit
Incorporated
Jun 28, 1905 in OH
Enrollment address
1250S Washington St
Van Wert, OH 45891-2551
Main/Primary Hospital Location
Hospital subgroups
General

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
Van Wert County HospitalCCN 360071 · All quality measures
Overall star rating
5 of 5
Type
Acute Care Hospitals
Ownership
Voluntary non-profit - Private
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
No

National Provider Directory

National Provider Directory
Tax ID family
Opg Van Wert Medical Center4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

1250 S Washington St
Van Wert, OH 45891
Phone (419) 232-2077

Ownership & related parties

All disclosed owners & managing parties 23

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

NameRoleSinceShare
John Schwemer Individual Corporate DirectorBoard Member Feb 28, 2023
Wade Giffin Individual Corporate DirectorBoard Member Feb 28, 2023
Andy Rose Individual Corporate OfficerTreasurer Jul 1, 2023
Corporate DirectorBoard Member Feb 28, 2023
Nicholas P Honda Individual Corporate DirectorBoard Member Jan 1, 2024
Donna James Individual Corporate OfficerSecretary Feb 28, 2023
Corporate DirectorBoard Member Feb 28, 2023
Michael Coleman Individual Corporate DirectorBoard Member Feb 28, 2023
Stephen Markovich Individual Corporate OfficerPresident & Ceo, Ohiohealth Feb 28, 2023
W-2 Managing Employee Feb 28, 2023
Sandy Doyle-Ahern Individual Corporate DirectorBoard Member Jul 1, 2023
Hee-Soo Jung Individual Corporate DirectorBoard Member Nov 1, 2024
David Harrison Individual Corporate DirectorBoard Member Feb 28, 2023
Arvind Mark Malik Individual Corporate DirectorBoard Member Jan 1, 2024
Carolyn S Kile Individual Corporate DirectorBoard Member Jul 1, 2023
Jeffrey D Hutchison Individual Corporate DirectorBoard Member Feb 28, 2023
Michael P Browning Individual Corporate OfficerSenior VP & Cfo, Ohiohealth Feb 28, 2023
Linda Hondros Individual Corporate OfficerVice Chairman Jul 1, 2024
Corporate DirectorBoard Member Feb 28, 2023
Karen Cook Individual Corporate DirectorBoard Member Feb 28, 2023
Mike Mahaffey Individual Corporate DirectorBoard Member Jul 1, 2023
Peggy Simmons Individual Corporate DirectorBoard Member Jan 1, 2024
Joseph S Lyren Individual Corporate OfficerVP Finance Feb 28, 2023
W-2 Managing EmployeeVP Finance Feb 28, 2023
Jennifer Lynn Papp Individual Corporate DirectorBoard Member Oct 1, 2023
David Eichinger Individual Corporate DirectorBoard Member Feb 28, 2023
Elizabeth Ingram Individual Corporate OfficerChairman Jul 1, 2023
Corporate DirectorBoard Member Feb 28, 2023
Ohiohealth Corporation Organization, Columbus, OH Corporation, Non-profit, Chain home office 5% Or Greater Direct Ownership Interest Feb 28, 2023 100%

Owners & managing parties with NPI records 10

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

Facilities with the same owner 20

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

View all 20

Subparts reporting this organization as parent 4

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 10

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.

Affiliated clinicians 131

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

View all 131

NPI Registry JSON

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

{
    "created_epoch": "1146009600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1647475200000",
    "number": "1942267760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "VAN WERT HEALTH",
            "address_2": "1250 S WASHINGTON ST",
            "city": "VAN WERT",
            "state": "OH",
            "postal_code": "458912551",
            "telephone_number": "419-238-2390",
            "fax_number": "419-238-0692"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "VAN WERT HEALTH",
            "address_2": "1250 S WASHINGTON ST",
            "city": "VAN WERT",
            "state": "OH",
            "postal_code": "458912551",
            "telephone_number": "419-238-2390",
            "fax_number": "419-238-0692"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VAN WERT COUNTY HOSPITAL ASSOCIATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-26",
        "last_updated": "2022-03-17",
        "certification_date": "2022-03-17",
        "status": "A",
        "authorized_official_last_name": "SILALAHI",
        "authorized_official_first_name": "EDGAR",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "419-238-8870"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM PHYSICIAN BILLING",
            "identifier": "000000030033",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL MUTUAL PHYSICIAN",
            "identifier": "=========",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WORKMEN COMPENSATION PHY.",
            "identifier": "=========",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM HOSPITAL PROVIDER",
            "identifier": "000000184281",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9027663",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WORKMENS COMPENSATION HOS",
            "identifier": "=========",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL MUTUAL HOSPITAL",
            "identifier": "=========",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE CARRIER PROVIDER",
            "identifier": "3600711",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "CK1277",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Van Wert Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Van Wert, OH

Sources for this page

Verify at the official NPI Registry.