Provider Demographics
NPI:1790837235
Name:MEDCENTRAL HEALTH SYSTEM
Entity type:Organization
Organization Name:MEDCENTRAL HEALTH SYSTEM
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CFO, OHIOHEALTH
Authorized Official - Prefix:MR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:P
Authorized Official - Last Name:BROWNING
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:145-444-4161
Mailing Address - Street 1:3430 OHIOHEALTH PARKWAY
Mailing Address - Street 2:3RD FLOOR NORTH
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43202
Mailing Address - Country:US
Mailing Address - Phone:614-544-4161
Mailing Address - Fax:614-544-4470
Practice Address - Street 1:335 GLESSNER AVE
Practice Address - Street 2:
Practice Address - City:MANSFIELD
Practice Address - State:OH
Practice Address - Zip Code:44903-2269
Practice Address - Country:US
Practice Address - Phone:419-526-8000
Practice Address - Fax:419-526-8834
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:OHIO HEALTH CORPORATION
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2007-01-17
Last Update Date:2020-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH282N00000X
282N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH5489663Medicaid
OH5489663Medicaid