Trinity Hospital Twin City
Organization Active NPI Medicare Defined Swing Bed Hospital Unit · Dennison, OH
NPI 1003102955 · NPPES record last updated Jun 20, 2011
Key facts
- NPI
- 1003102955
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Medicare Defined Swing Bed Hospital Unit 275N00000X
- Legal business name
- TRINITY HOSPITAL TWIN CITY
- Practice address
- 819 N 1St St
Dennison, OH 44621-1003 - Phone
- (740) 922-7499
- NPI assigned
- Jun 20, 2011
- Organization subpart
- Yes
- Parent organization (as reported)
- TRINITY HOSPITAL TWIN CITY
Authorized official
- Name
- Mr. James W Pope
- Title
- President/Ceo
- Phone
- (419) 882-8373
Owners & managing parties with NPI records 5
-
Matthew Colflesh, M.D.
-
John Columbus, MD
-
Charn S Nandra, M.D.
Other NPIs with the same Medicare PAC ID 5
Corporate family (same tax ID) 4
Member of 1
Related certifications (CCN) 1
Facilities with the same owner 18
Practitioners 12
-
Bethany Rachelle Amicone, FNP-C
-
Julia Marie Bologna, CNP
-
Stuart K Brown, DO
-
Timothy A McKnight, M.D.
-
Laura E McMorrow, APRN, FNP-C
-
Jennifer L. Ney, D.O.
-
Katelyn Michelle Obermiller, FNP-BC
-
Sarah Lynn Smith, APRN-CNP
-
Eric Charles Snyder, CRNP
-
Benjamin Turner, MD
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OH
Hospital certification: CCN 36Z302
- Legal name
- TRINITY HOSPITAL TWIN CITY
- Doing business as
- TWIN CITY MEDICAL CENTER
- Organization structure
- Corporation · Non-profit
- Incorporated
- Mar 2, 2011 in OH
- Enrollment address
- 819 N 1St St
Dennison, OH 44621-1003
All disclosed owners & managing parties 27
| Name | Role | Since | Share |
|---|---|---|---|
| Doug Lawson |
Corporate Officer |
Mar 1, 2018 | |
| James E May |
Corporate Officer |
Jan 6, 2025 | |
| Sylvania Franciscan Health |
5% Or Greater Indirect Ownership Interest | Jun 1, 2020 | 100% |
| Matthew a Colflesh |
Corporate Officer |
Aug 14, 2017 | |
| Commonspirit Health |
5% Or Greater Indirect Ownership Interest | Jun 1, 2020 | 100% |
| Charn S Nandra |
Corporate Officer |
Jan 1, 2023 | |
| Trinity Health System |
5% Or Greater Direct Ownership Interest | Jul 1, 2017 | 100% |
| Claudia Bronsing |
Corporate Director |
Apr 28, 2022 | |
| Teresa Gagliardi |
Corporate Officer |
Apr 28, 2022 | |
| Jeffrey Neidig |
Corporate Director |
Jul 1, 2024 | |
| Dave Werkin |
Corporate Officer |
Aug 14, 2017 | |
| Maria Dibartolomeo |
W-2 Managing Employee |
May 2, 2024 | |
| Karla Gregory-Martin |
Corporate Director |
Jul 1, 2021 | |
| Joseph Luckino |
Corporate Director |
Apr 28, 2022 | |
| Shawn Blake |
Corporate Director |
May 8, 2024 | |
| Dennis Wolters |
Corporate Director |
Jul 1, 2017 | |
| William Schaefer |
Corporate Officer |
Jul 1, 2021 | |
| Jason Elliott |
Corporate Director |
Jul 1, 2024 | |
| John Columbus |
Corporate Officer |
Jan 1, 2023 | |
| David Skiviat |
Corporate Director |
Jan 1, 2019 | |
| Michelle Gorman |
Corporate Director |
Jul 1, 2024 | |
| Samuel Licata |
Corporate Officer |
Jul 1, 2021 | |
| Dwayne Richardson |
Corporate Officer |
Mar 8, 2021 | |
| Shawn Hervey |
Corporate Director |
Jul 1, 2024 | |
| Aaron P Provenzano |
Corporate Officer |
Jul 1, 2020 | |
| Rita Dutton |
Corporate Director |
Jul 1, 2023 | |
| Brenan Pergi |
Corporate Director |
Jul 1, 2024 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20110712000664 | OH | Part a Provider - Critical Access Hospital | 6204004534 | Practice locations: Dennison, OH |
National Provider Directory
- Tax ID family
- Trinity Hospital Twin City
- Part of
- Trinity Hospital Twin City
Interoperability endpoints
- https://fhir-myrecord.cerner.com/r4/fdqklJrzTg5-JsHjn6gcvJbZmmigMGfd/
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medicare Defined Swing Bed Hospital Unit | 275N00000X | OH | Yes |
Addresses
Primary practice location
819 N 1St St
Dennison, OH 44621-1003
Mailing address
819 N 1St St
Dennison, OH 44621-1003
Phone (740) 922-7499
Other providers in Dennison, OH
- Danielle Tedesco
- Ten Broeck Tennessee Physicians Group Inc
- Ten Lakes Center, LLC
- Jennifer M Thomas
- Tricounty Radiology Associates
- Trinity Hospital Twin City
- Trinity Hospital Twin City
- Twin City Chiropractic Health & Wellness Inc..
- Twin City Hospital Corporation
- Twin City Hospital Corporation
All providers in Dennison, OH · Medicare Defined Swing Bed Hospital Unit in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 20, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.