NPIMap

Organization Active NPI

Mercer County Joint Township Community Hospital

Doing business as mercer health medical equipment

  • Durable Medical Equipment & Medical Supplies
  • Celina, OH
National Provider Identifier
1104929660
Registry record updated Oct 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
MERCER COUNTY JOINT TOWNSHIP COMMUNITY HOSPITAL
Doing business as
mercer health medical equipment
Practice address
909 E. Wayne Street Suite 108
Celina, OH 45822-3304
Phone
(419) 584-1973
Fax
(419) 584-1723
NPI assigned
Sep 7, 2006
Last updated
Oct 14, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Jon Dingledine
Title
Cfo/Coo
Phone
(419) 678-5104

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

909 E. Wayne Street Suite 108
Celina, OH 45822-3304

Mailing address

909 E. Wayne Street Suite 108
Celina, OH 45822-3304
Phone (419) 584-1973

Other names 1

  • mercer health medical equipment Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930086767 OH DME Supplier - Medical Supply CompanyDME Supplier - Orthotic PersonnelDME Supplier - Medical Supply Company With Respiratory TherapistDME Supplier - Oxygen & Equipment 8820081755 Practice locations: Celina, OH

Other NPIs with the same Medicare PAC ID 4

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Mercer County Joint Township Commun909 E Wayne St, Celina, OH 45822-3304(419) 584-1973 Commodes, Urinals, Bedpans|Blood Glucose Monitors/Supplies (Non-Mail Order)|Hospital Beds (Electric)|Hospital Beds (Manual)|Support Surfaces: Pressure Reducing Beds/Mats/Pads|Canes and/or Crutches|Walkers|Wheelchairs (Standard Manual)|Wheelchairs (Standard Manual Related Accessories)|Orthoses: Off-… Accepts assignmentParticipating since Oct 1, 1984

National Provider Directory

National Provider Directory
Tax ID family
Peter R White MD12 organizations share this tax ID, including this one

Other organizations with this tax ID 11

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

All facility ownership & control disclosures 3

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Mercer HealthColdwater, OH, CCN 360058 Hospital 5% Or Greater Direct Ownership Interest (100%) Apr 1, 1972
Mercer County Joint Township Community HospitalColdwater, OH, CCN 36U058 Hospital 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)		 Apr 1, 1972
Apr 1, 1972
Mercer Health Home CareCelina, OH, CCN 367089 Home health agency 5% Or Greater Direct Ownership Interest (100%) Oct 1, 1987

Owned or controlled facilities with NPI records 3

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1157587200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1602633600000",
    "number": "1104929660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "909 E. WAYNE STREET SUITE 108",
            "city": "CELINA",
            "state": "OH",
            "postal_code": "458223304",
            "telephone_number": "419-584-1973",
            "fax_number": "419-584-1723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "909 E. WAYNE STREET SUITE 108",
            "city": "CELINA",
            "state": "OH",
            "postal_code": "458223304",
            "telephone_number": "419-584-1973",
            "fax_number": "419-584-1723"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERCER COUNTY JOINT TOWNSHIP COMMUNITY HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-07",
        "last_updated": "2020-10-14",
        "certification_date": "2020-10-14",
        "status": "A",
        "authorized_official_last_name": "DINGLEDINE",
        "authorized_official_first_name": "JON",
        "authorized_official_title_or_position": "CFO/COO",
        "authorized_official_telephone_number": "419-678-5104"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "mercer health medical equipment",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "mercer health medical equipment",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Celina, OH

Sources for this page

Verify at the official NPI Registry.