Medcentral Health System
Organization Active NPI Clinical Medical Laboratory · Mansfield, OH
NPI 1962888016 · NPPES record last updated May 13, 2020
Key facts
- NPI
- 1962888016
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Clinical Medical Laboratory 291U00000X
- Legal business name
- MEDCENTRAL HEALTH SYSTEM
- Practice address
- 335 Glessner Avenue
Mansfield, OH 44903-2269 - Phone
- (419) 526-8000
- Fax
- (419) 521-7960
- NPI assigned
- Jul 30, 2015
- Organization subpart
- No
Authorized official
- Name
- Mr. Michael P Browning
- Title
- Cfo, Ohiohealth
- Phone
- (614) 544-4161
Owners & managing parties with NPI records 4
-
Jennifer L Papp, DO
Other NPIs on the same Medicare enrollment 1
Corporate family (same tax ID) 11
Related certifications (CCN) 1
Practitioners 4
-
Thomas L Blosser, M.D.
-
Kelsey Brianne Hickman, PHARMD
-
Jeffrey M. Walthour, PHARM.D.
Affiliated clinicians 621
-
Hamzah Abu-Sbeih, MD
-
Richard W Adams, DO
-
Faisal Adhami, M.D., PH.D.
-
Hussein Adly, M.D.
-
Omar Ahmad, MD
-
Imtiaz Ahmed, M.D.
-
Maryam Ahmed, MD
-
Mohammed Al-Issa, DO
-
Bashar Alalao, M.D.
-
Mark Alfonso, M.D.
-
Michael L. Amalfitano, D.O.
-
Alexis Ryanne Amstutz, PA-C
-
Guillermo V Amurao, M.D.
-
Tabatha Angle, NP
-
Sachiko Arakawa, CNP
-
Jeffrey Joseph Archer, M.D.
-
Ashlee N Armstrong, CNP
-
Arash Arshi, M.D.
Medicare Care Compare: Hospital
- Listed as
- Ohiohealth Mansfield Hospital
- Overall star rating
- ★★★☆☆ 3 of 5
- Type
- Acute Care Hospitals
- Ownership
- Voluntary non-profit - Private
- Medicare certification status
- Active
- Emergency services
- Yes
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 36D0935789 | Ohiohealth Mansfield Endocrinology | Certificate of waiver | Nov 5, 2027 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OH
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
- Corporation · Non-profit
- Incorporated
- Jun 17, 1903 in OH
- Enrollment address
- 335 Glessner Ave
Mansfield, OH 44903-2269 - Hospital subgroups
- Acute care
All disclosed owners & managing parties 23
| Name | Role | Since | Share |
|---|---|---|---|
| John Schwemer |
Corporate Director |
Feb 1, 2020 | |
| Wade Giffin |
Corporate Director |
Jul 1, 2021 | |
| Andy Rose |
Corporate Officer |
Jul 1, 2023 | |
| Corporate Director |
Jul 1, 2021 | ||
| Nicholas P Honda |
Corporate Director |
Jan 1, 2024 | |
| Donna James |
Corporate Officer |
Jul 1, 2021 | |
| Corporate Director |
Jul 1, 2021 | ||
| Michael Coleman |
Corporate Director |
Jul 1, 2020 | |
| Stephen Markovich |
Corporate Officer |
Jul 1, 2019 | |
| W-2 Managing Employee |
Jul 1, 2019 | ||
| Sandy Doyle-Ahern |
Corporate Director |
Jul 1, 2023 | |
| Ohiohealth Corporation |
5% Or Greater Direct Ownership Interest | Mar 1, 2014 | 100% |
| David Harrison |
Corporate Director |
Jul 1, 2020 | |
| Arvind Mark Malik |
Corporate Director |
Jan 1, 2024 | |
| Carolyn S Kile |
Corporate Director |
Jul 1, 2023 | |
| Jeffrey D Hutchison |
Corporate Director |
Jul 1, 2021 | |
| Linda Hondros |
Corporate Officer |
Jul 1, 2024 | |
| Corporate Director |
Jul 1, 2019 | ||
| Karen Cook |
Corporate Director |
Oct 1, 2017 | |
| Mike Mahaffey |
Corporate Director |
Jul 1, 2023 | |
| Rosemary Pitts |
Corporate Officer |
Feb 23, 2026 | |
| Gregory Palmer |
Corporate Director |
Mar 1, 2014 | |
| Peggy Simmons |
Corporate Director |
Jan 1, 2024 | |
| Joseph S Lyren |
Corporate Director |
Mar 27, 2017 | |
| W-2 Managing Employee | Mar 27, 2017 | ||
| Jennifer Lynn Papp |
Corporate Director |
Oct 1, 2023 | |
| David Eichinger |
Corporate Director |
Jul 1, 2017 | |
| Elizabeth Ingram |
Corporate Officer |
Jul 1, 2024 | |
| Corporate Director |
Jul 1, 2015 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 |
National Provider Directory
- Tax ID family
- Medcentral Homecare and Hospice
Locations
25 Amberwood Pkwy
Ste D
Ashland, OH 44805
Phone (567) 241-7764
291 Heiser Ct
Crestline, OH 44827
Phone (419) 589-8819
335 Glessner Ave
Mansfield, OH 44903
Phone (419) 522-0320
770 Balgreen Dr
Ste 104
Mansfield, OH 44906
Phone (419) 526-8972
335 Glessner Ave
Ste 200
Mansfield, OH 44903
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | Yes |
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 identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5489663 | Medicaid | OH |
Other names
- Mansfield Laboratory Services
Other providers in Mansfield, OH
- Medcentral Health System
- Medcentral Health System
- Medcentral Health System
- Medcentral Health System
- Medcentral Health System
- Medcentral Homecare and Hospice
- Medcentral Homecare and Hospice
- Medcentral Professional Association Inc.
- Medcentral Professional Foundation, LLC
- Medella Counseling Services LLC
All providers in Mansfield, OH · Clinical Medical Laboratory in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 13, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.