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Mercer County Joint Township Community Hospital

Organization Active NPI Durable Medical Equipment & Medical Supplies · Celina, OH

NPI 1104929660 · NPPES record last updated Oct 14, 2020

Key facts

NPI
1104929660
Entity type
Organization (NPI type 2)
Primary specialty
Durable Medical Equipment & Medical Supplies 332B00000X
Legal business name
MERCER COUNTY JOINT TOWNSHIP COMMUNITY HOSPITAL
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
Organization subpart
No

Authorized official

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

Owned or controlled facilities with NPI records 3

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

Other NPIs with the same Medicare PAC ID 4

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

Corporate family (same tax ID) 3

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

Practitioners 60

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 60

Laboratory certificates & supplier records

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

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Mercer County Joint Township Commun
909 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 assignment
Participating since Oct 1, 1984

Medicare participation

Medicare fee-for-service enrollment
Enrolled in OH

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

Medicare enrollment records

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

National Provider Directory

Tax ID family
Mercer County Community (4 organizations share this tax ID)

Specialties & licenses

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

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 identifiers

IdentifierTypeStateIssuer
0737699MedicaidOH

Other names

  • mercer health medical equipment Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Oct 14, 2020.

{
    "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": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0737699",
            "state": "OH"
        }
    ],
    "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

All providers in Celina, OH · Durable Medical Equipment & Medical Supplies in Ohio

Sources for this page

Verify at the official NPI Registry.