Provider Demographics
NPI:1447435599
Name:FIRELANDS REGIONAL MEDICAL CENTER
Entity type:Organization
Organization Name:FIRELANDS REGIONAL MEDICAL CENTER
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR, FIRELANDS CORPORATE HEALT
Authorized Official - Prefix:MS
Authorized Official - First Name:SANDIE
Authorized Official - Middle Name:
Authorized Official - Last Name:BEAL
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:419-557-5126
Mailing Address - Street 1:5420 MILAN RD
Mailing Address - Street 2:
Mailing Address - City:SANDUSKY
Mailing Address - State:OH
Mailing Address - Zip Code:44870-5846
Mailing Address - Country:US
Mailing Address - Phone:419-557-5248
Mailing Address - Fax:419-624-0566
Practice Address - Street 1:5420 MILAN RD
Practice Address - Street 2:2500 W STRUB RD, SUITE 120 (ADDITIONAL LOCATION)
Practice Address - City:SANDUSKY
Practice Address - State:OH
Practice Address - Zip Code:44870-5846
Practice Address - Country:US
Practice Address - Phone:419-557-5248
Practice Address - Fax:419-624-0566
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:FIRELANDS REGIONAL MEDICAL CENTER
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2008-01-08
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH261QC1800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QC1800XAmbulatory Health Care FacilitiesClinic/CenterCorporate Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH=========-09OtherWORKER'S COMP FOR MILAN ROAD LOCATION