NPIMap

Organization Active NPI

Medcentral Health System

Doing business as Mansfield Laboratory Services

  • Clinical Medical Laboratory
  • Mansfield, OH
National Provider Identifier
1962888016
Registry record updated May 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
MEDCENTRAL HEALTH SYSTEM
Doing business as
Mansfield Laboratory Services
Practice address
335 Glessner Avenue
Mansfield, OH 44903-2269
Phone
(419) 526-8000
Fax
(419) 521-7960
NPI assigned
Jul 30, 2015
Last updated
May 13, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 13, 2020

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

Authorized official

Name
Mr. Michael P Browning
Title
Cfo, Ohiohealth
Phone
(614) 544-4161

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

335 Glessner Avenue
Mansfield, OH 44903-2269

Mailing address

3430 Ohiohealth Parkway
3Rd Floor North
Columbus, OH 43202
Phone (614) 544-4125

Other names 1

  • Mansfield Laboratory Services Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20021218000018 OH Part A Provider - Hospital 9830007913 1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Ashland, OH; Ontario, OH; Mansfield, OH

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1962888016. Details of each certification follow.

Hospital certification: CCN 360118

Legal name
MEDCENTRAL HEALTH SYSTEM
Doing business as
OHIOHEALTH MANSFIELD HOSPITAL
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Jul 1, 1966
Last certification
Jan 4, 2008
Beds
358
Ownership / control type
Private (not for profit)
Organization structure
CorporationNon-profit
Incorporated
Jun 17, 1903 in OH
Enrollment address
335 Glessner Ave
Mansfield, OH 44903-2269
Other Hospital Practice Location
Hospital subgroups
Acute care

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

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
Ohiohealth Mansfield HospitalCCN 360118 · All quality measures
Overall star rating
3 of 5
Type
Acute Care Hospitals
Ownership
Voluntary non-profit - Private
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
36D0935789Ohiohealth Mansfield Endocrinology335 Glessner Avenue, Mansfield, OH 44903Certificate of waiverNov 5, 2027

National Provider Directory

National Provider Directory
Tax ID family
Medcentral Homecare and Hospice12 organizations share this tax ID, including this one

Other organizations with this tax ID 11

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

Locations

25 Amberwood Pkwy
Ste D
Ashland, OH 44805
Phone (567) 241-7764

335 Glessner Ave
Ste 200
Mansfield, OH 44903

770 Balgreen Dr
Ste 104
Mansfield, OH 44906
Phone (419) 526-8972

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 1, 2020
Wade Giffin Individual Corporate DirectorBoard Member Jul 1, 2021
Andy Rose Individual Corporate OfficerTreasurer Jul 1, 2023
Corporate DirectorBoard Member Jul 1, 2021
Nicholas P Honda Individual Corporate DirectorBoard Member Jan 1, 2024
Donna James Individual Corporate OfficerSecretary Jul 1, 2021
Corporate DirectorBoard Member Jul 1, 2021
Michael Coleman Individual Corporate DirectorBoard Member Jul 1, 2020
Stephen Markovich Individual Corporate OfficerPresident & Ceo Jul 1, 2019
W-2 Managing EmployeePresident & Ceo Jul 1, 2019
Sandy Doyle-Ahern Individual Corporate DirectorBoard Member Jul 1, 2023
Ohiohealth Corporation Organization, Columbus, OH Non-profit, Chain home office 5% Or Greater Direct Ownership Interest Mar 1, 2014 100%
David Harrison Individual Corporate DirectorBoard Member Jul 1, 2020
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 Jul 1, 2021
Linda Hondros Individual Corporate OfficerVice Chairman Jul 1, 2024
Corporate DirectorBoard Member Jul 1, 2019
Karen Cook Individual Corporate DirectorBoard Member Oct 1, 2017
Mike Mahaffey Individual Corporate DirectorBoard Member Jul 1, 2023
Rosemary Pitts Individual Corporate OfficerEvp & Cfo, Ohiohealth Feb 23, 2026
Gregory Palmer Individual Corporate DirectorBoard Member Mar 1, 2014
Peggy Simmons Individual Corporate DirectorBoard Member Jan 1, 2024
Joseph S Lyren Individual Corporate DirectorVP Finance Mar 27, 2017
W-2 Managing Employee Mar 27, 2017
Jennifer Lynn Papp Individual Corporate DirectorBoard Member Oct 1, 2023
David Eichinger Individual Corporate DirectorBoard Member Jul 1, 2017
Elizabeth Ingram Individual Corporate OfficerChairman Jul 1, 2024
Corporate DirectorBoard Member Jul 1, 2015

Owners & managing parties with NPI records 4

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

Practitioners & affiliated clinicians

Practitioners 4

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 621

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

View all 621

NPI Registry JSON

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

{
    "created_epoch": "1438214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1589328000000",
    "number": "1962888016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3430 OHIOHEALTH PARKWAY",
            "address_2": "3RD FLOOR NORTH",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "43202",
            "telephone_number": "614-544-4125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "335 GLESSNER AVENUE",
            "city": "MANSFIELD",
            "state": "OH",
            "postal_code": "449032269",
            "telephone_number": "419-526-8000",
            "fax_number": "419-521-7960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDCENTRAL HEALTH SYSTEM",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-30",
        "last_updated": "2020-05-13",
        "certification_date": "2020-05-13",
        "status": "A",
        "authorized_official_last_name": "BROWNING",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "CFO, OHIOHEALTH",
        "authorized_official_telephone_number": "614-544-4161",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mansfield Laboratory Services",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Mansfield Laboratory Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mansfield, OH

Sources for this page

Verify at the official NPI Registry.