Healthcare Provider Details

I. General information

NPI: 1134117849
Provider Name (Legal Business Name): FIRELANDS REGIONAL MEDICAL CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/07/2005
Last Update Date: 09/02/2025
Certification Date: 08/12/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5420 MILAN RD STE A
SANDUSKY OH
44870-5846
US

IV. Provider business mailing address

5420 MILAN RD STE A
SANDUSKY OH
44870-5846
US

V. Phone/Fax

Practice location:
  • Phone: 419-557-6590
  • Fax:
Mailing address:
  • Phone: 419-557-6590
  • Fax: 419-624-0635

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: MR. KEVIN RILEY
Title or Position: CFO
Credential:
Phone: 419-557-7797