NPIMap

Organization Active NPI

Firelands Regional Medical Center

  • Renal Dialysis Technician
  • Sandusky, OH
National Provider Identifier
1992779698
Registry record updated Nov 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Renal Dialysis TechnicianTaxonomy code 2472R0900X
Legal business name
FIRELANDS REGIONAL MEDICAL CENTER
Practice address
904 Pierce St
Sandusky, OH 44870-4600
Phone
(419) 557-7228
NPI assigned
Feb 17, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2023

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

Authorized official

Name
Mr. Kevin Riley
Title
Cfo
Phone
(419) 557-7490

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Renal Dialysis TechnicianGroup: 193200000X MULTI-SPECIALTY GROUP 2472R0900X Primary
End-Stage Renal Disease (ESRD) Treatment Clinic/Center 261QE0700X
General Acute Care Hospital 282N00000X OH

Addresses

Primary practice location

904 Pierce St
Sandusky, OH 44870-4600

Mailing address

904 Pierce St
Sandusky, OH 44870-4600
Phone (419) 557-7228

Other names 1

  • Firelands Regional Medical Center - Dialysis Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20021030000007 OH Part A Provider - End-Stage Renal Disease Facility (ESRD) 6103734645 Practice locations: Sandusky, OH

Other NPIs with the same Medicare PAC ID 4

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

Care Compare: Dialysis facility

Medicare Care Compare
Listed as
Firelands Dialysis Center SouthCCN 362322
Overall star rating
3.0 of 5
Ownership
Non-profit
Certified
Sep 15, 1978
Medicare certification status
ActiveFrom the Provider of Services file
Dialysis stations
31

Name & address match This facility record has no NPI; it was connected to this NPI by matching name and address.

National Provider Directory

National Provider Directory

Locations

904 Pierce St
Sandusky, OH 44870
Phone (419) 557-7228

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Firelands Regional Medical Center Home Health ServicesSandusky, OH, CCN 367691 Home health agency Operational/Managerial Control Sep 4, 1996

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Practitioners & affiliated clinicians

Affiliated clinicians 3

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

NPI Registry JSON

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

{
    "created_epoch": "1140134400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698969600000",
    "number": "1992779698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "904 PIERCE ST",
            "city": "SANDUSKY",
            "state": "OH",
            "postal_code": "448704600",
            "telephone_number": "419-557-7228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "904 PIERCE ST",
            "city": "SANDUSKY",
            "state": "OH",
            "postal_code": "448704600",
            "telephone_number": "419-557-7228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIRELANDS REGIONAL MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-17",
        "last_updated": "2023-11-03",
        "certification_date": "2023-11-03",
        "status": "A",
        "authorized_official_last_name": "RILEY",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "419-557-7490",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "2472R0900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Technician, Other, Renal Dialysis",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "OH",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Firelands Regional Medical Center - Dialysis",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Firelands Regional Medical Center - Dialysis",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sandusky, OH

Sources for this page

Verify at the official NPI Registry.