Organization Active NPI

Scci Hospital Mansfield Inc

  • General Acute Care Hospital
  • Mansfield, OH
National Provider Identifier
1962488411
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
1426 Issued in OH
Legal business name
SCCI HOSPITAL MANSFIELD INC
Practice address
335 Glessner Ave
5TH Floor
Mansfield, OH 44903
Phone
(419) 526-0777
Fax
(419) 526-0929
NPI assigned
Dec 16, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Virginia Lee Lanford, RN MBA
Title
Vice President Quality & Compliance
Phone
(713) 807-8686

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X 1426 OH Primary

Addresses

Primary practice location

335 Glessner Ave
5TH Floor
Mansfield, OH 44903

Mailing address

7333 North Freeway
Houston, TX 77076
Phone (713) 807-8686

Other identifiers 2

IdentifierTypeStateIssuer
2143504MedicaidOH
000000322141OtherOHBLUE CROSS

National Provider Directory

National Provider Directory

Locations

335 Glessner Ave
Fl 5
Mansfield, OH 44903
Phone (419) 522-2833

NPI Registry JSON

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

{
    "created_epoch": "1134691200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1962488411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7333 NORTH FREEWAY",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "77076",
            "telephone_number": "713-807-8686",
            "fax_number": "713-807-8604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "335 GLESSNER AVE",
            "address_2": "5TH FLOOR",
            "city": "MANSFIELD",
            "state": "OH",
            "postal_code": "44903",
            "telephone_number": "419-526-0777",
            "fax_number": "419-526-0929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCCI HOSPITAL MANSFIELD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LANFORD",
        "authorized_official_first_name": "VIRGINIA",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "VICE PRESIDENT QUALITY & COMPLIANCE",
        "authorized_official_telephone_number": "713-807-8686",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RN MBA"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "OH",
            "license": "1426",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2143504",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "000000322141",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mansfield, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.