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MAGRUDER HOSPITAL PC EMERGENCY
NPI 1255401345
Emergency Medical Technician, Intermediate in Port Clinton, OH

Active since November 08, 2006CLIA 36D2289575 · Waiver
615 FULTON ST, PORT CLINTON, OH 43452(419) 734-3131 Get Directions Write a Review

NPPES record last updated: August 19, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 19, 2021, Aug 22, 2020 (2 updates tracked since 2020).

About Magruder Hospital Pc Emergency NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MAGRUDER HOSPITAL PC EMERGENCY (NPI 1255401345) is a healthcare organization registered as an emergency medical technician, intermediate in Port Clinton, Ohio and active in the NPI registry since November 2006. The organization holds a CLIA Waiver certificate valid through September 11, 2027 and lists Nick Marsico, President - Ceo, as its authorized official.

NPPES Registry Identity

NPI1255401345
Entity TypeOrganization
Primary Taxonomy146M00000X
Legal Business NameH.B. MAGRUDER HOSPITAL
Location Address615 FULTON STPort Clinton, OH 43452-2001
Mailing Address615 Fulton StPort Clinton, OH 43452-2001 · (419) 734-3131
Phone(419) 734-3131
Organization SubpartNo
Authorized OfficialNick MarsicoPresident - Ceo · (419) 734-3131
Enumeration DateNovember 8, 2006
Last NPPES UpdateAugust 19, 20212 updates tracked since enumeration
NPPES CertifiedAugust 19, 2021
✔ NPI 1255401345 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency Medical Technician, IntermediateEmergency Medical Service Providers
Taxonomy Code146M00000X
License✔ Licensed in OH · 1252
Definition
An Intermediate EMT is an individual trained and certified to perform intermediate life support treatment in medical emergencies based on individual state boards.
615 FULTON ST, Port Clinton, OH 43452
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Other Names 1

Doing Business AsMagruder Hospital Pc Emergency

Other Identifiers 6

Medicaid5430662OH
Other03718OH · Paramount Er
OtherH3613141OH · Humana Medicare Er
Other6460950OH · Aetna Er
Other395857OH · Black Lung Er
Other709136OH · Buckeye Er

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 36D2289575

Magruder Hospital · Port Clinton, OH
Active · expires Sep 11, 2027
CLIA Number36D2289575
Laboratory TypeHosp Dept - Urgent Care
Certificate Effective DateSeptember 12, 2025
Certificate Expiration DateSeptember 11, 2027
Laboratory DirectorRobin L. Lalonde
Laboratory Phone(419) 734-3131
Laboratory LocationMagruder Hospital615 Fulton St, Port Clinton, OH 43452
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KEVINDEEP RAJU PHARMD
Pharmacist
615 FULTON ST
PORT CLINTON, OH 43452
Ottawa County (419) 732-4009
ELIZABETH CATHERINE WINTERS PHARMD
Pharmacist
615 FULTON ST
PORT CLINTON, OH 43452
Ottawa County (419) 734-3131
ELIZABETH MCGUIRE RPH
Pharmacist
615 FULTON ST
PORT CLINTON, OH 43452
Ottawa County (419) 734-3030
CHRISTOPHER BENDER
Physical Therapy Assistant
615 FULTON ST
PORT CLINTON, OH 43452
Ottawa County (419) 732-4033
DR. JOSHUA SPAYDE PHARMD, MBA
Pharmacist
615 FULTON ST
PORT CLINTON, OH 43452
Ottawa County (419) 734-3131
KIMBERLY LENEGHAN RD LD
Dietitian, Registered
615 FULTON ST
PORT CLINTON, OH 43452
Ottawa County (419) 734-3131
LAURA JO MULLER AGNP-C
Nurse Practitioner (Gerontology)
615 FULTON ST
PORT CLINTON, OH 43452
Ottawa County (419) 732-4028
RADIOLOGY SERVICES OF OHIO, INC.
Radiology (Diagnostic Radiology)
615 FULTON ST
PORT CLINTON, OH 43452
Ottawa County (419) 734-3131

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is H.B. Magruder Hospital's NPI number?

The NPI number for H.B. Magruder Hospital is 1255401345. It was assigned to this organization in the NPPES registry on November 8, 2006. The provider is doing business as Magruder Hospital PC Emergency.

Where is H.B. Magruder Hospital located?

H.B. Magruder Hospital is located at 615 Fulton St, Port Clinton, OH 43452. The listed phone number is (419) 734-3131.

What is H.B. Magruder Hospital's specialty?

The primary specialty registered for this NPI is Emergency Medical Technician, Intermediate with taxonomy code 146M00000X.

Does H.B. Magruder Hospital hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 36D2289575) is associated with this NPI, valid through September 11, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for H.B. Magruder Hospital was last updated on August 19, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.