Community Mercy Health Partners
Organization Active NPI General Acute Care Hospital · Springfield, OH
NPI 1144286402 · NPPES record last updated Mar 2, 2021
Key facts
- NPI
- 1144286402
- Entity type
- Organization (NPI type 2)
- Primary specialty
- General Acute Care Hospital 282N00000X
- Legal business name
- COMMUNITY MERCY HEALTH PARTNERS
- Practice address
- 100 Medical Center Drive
Springfield, OH 45504 - Phone
- (937) 523-1001
- NPI assigned
- Apr 25, 2006
- Organization subpart
- No
Authorized official
- Name
- Ms. Jenelle Zelinski
- Title
- Cfo
- Phone
- (937) 523-6634
Owners & managing parties with NPI records 3
-
Adeleye A. Edon, DO
-
Marvin M Narcelles, M.D.
-
Denise P Rodney, MD
Owned or controlled facilities with NPI records 1
Other NPIs on the same Medicare enrollment 1
Other NPIs with the same Medicare PAC ID 5
Related certifications (CCN) 1
Facilities with the same owner 97
Practitioners 71
-
Akber Mohammed, MD
-
Joaquin Llado-Frazer, M.D.
-
Karen Staats, FNP-C
-
Aijaz Ahmed, M.D.
-
Jordan Allison, PSYD
-
Pratibha Acharya, MD
-
Faiq S Akhter, MD
-
Riad Akkari, M.D.
-
Mian Bilal Alam, MD
-
Tedros Andom, M.D.
-
Shreyas Arya, MBBS
-
Amanda Marie Brannon, CNP-C
-
Terry Lynn Carman II, M.D.
-
Azeez Ciba, MD
-
Edward M Cordasco, D.O.
-
Elie R Ghazal, MD
Affiliated clinicians 416
-
Pratibha Acharya, MD
-
Aijaz Ahmed, M.D.
-
Ashfaq Taj Ahmed, M.D.
-
Imtiaz Ahmed, MD
-
Khadija L Ahmed, M.D.
-
Challa Ajit, MD
-
Joshua Luke Akers, CRNA
-
Faiq S Akhter, MD
-
Riad Akkari, M.D.
-
Tayma Al Faruqi, M.D.
-
Mian Bilal Alam, MD
-
Nicole Renee Alexander, D.O.
-
Omar Ali, M.D.
-
Parag Amin, M.D.
-
Tedros Andom, M.D.
-
Ananth Annamraju, M.D.
-
Muhammad Ashraf, M.D.
-
Andrew Edward Aten, M.D.
Medicare Care Compare: Hospital
- Listed as
- Springfield Regional Medical Center
- Overall star rating
- ★★★★☆ 4 of 5
- Type
- Acute Care Hospitals
- Ownership
- Voluntary non-profit - Private
- Medicare certification status
- Active
- Emergency services
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in OH
Hospital certification: CCN 360086
- Legal name
- COMMUNITY MERCY HEALTH PARTNERS
- Doing business as
- MERCY HEALTH - SPRINGFIELD REGIONAL MEDICAL CENTER
- Certification status
- Active
- Provider type (POS)
- Hospital – Short-term
- Participating since
- Jan 1, 1970
- Last certification
- Jan 18, 2012
- Beds
- 254
- Ownership / control type
- Private (not for profit)
- Organization structure
- Corporation · Non-profit
- Incorporated
- Aug 14, 1969 in OH
- Enrollment address
- 100 Medical Center Dr
Springfield, OH 45504-2687 - Hospital subgroups
- General, Acute care
All disclosed owners & managing parties 22
| Name | Role | Since | Share |
|---|---|---|---|
| Jayna Nicole Brown |
Corporate Director |
Jan 1, 2021 | |
| Denise Rodney |
Corporate Director |
Jan 1, 2024 | |
| Maria Goeser |
Corporate Director |
Jan 1, 2021 | |
| Michael Greitzer |
Corporate Director |
Jan 1, 2018 | |
| Marvin Millan Narcelles |
Corporate Director |
Jan 1, 2019 | |
| Adam Groshans |
Corporate Director |
Jun 1, 2019 | |
| Truman Johnson |
Corporate Director |
Jan 1, 2018 | |
| Jenelle Zelinski |
Corporate Officer |
May 20, 2019 | |
| Corporate Director |
May 20, 2019 | ||
| W-2 Managing Employee |
May 20, 2019 | ||
| James McGregor |
Corporate Director |
Jan 1, 2022 | |
| Lisa Cole |
Corporate Director |
Jan 1, 2020 | |
| Bon Secours Mercy Health Inc |
5% Or Greater Indirect Ownership Interest | Sep 1, 2018 | 50% |
| Ryan Gilliam |
Corporate Director |
Jan 1, 2025 | |
| Nina Wiley |
Corporate Director |
Jan 1, 2020 | |
| Alexander Garvey |
Corporate Director |
Jan 1, 2023 | |
| John Starcher |
Operational/Managerial Control |
Jan 1, 2016 | |
| Maryann Potina |
Corporate Director |
Jan 1, 2022 | |
| Adeleye a Edon |
Corporate Director |
Jan 1, 2022 | |
| The Community Hospital Health Services Foundation |
5% Or Greater Indirect Ownership Interest | Jul 1, 2004 | 50% |
| Community Mercy Health System |
5% Or Greater Direct Ownership Interest | Jul 1, 2004 | 100% |
| William Ray |
Corporate Director |
Feb 1, 2015 | |
| Kimberly M Ralston |
W-2 Managing Employee |
Oct 7, 2017 | |
| Joseph Gage |
Corporate Director |
Jan 1, 2023 |
All facility ownership & control disclosures 1
| Facility | Type | Role | Since |
|---|---|---|---|
| Community Mercy Home Care |
Home health agency | 5% Or Greater Direct Ownership Interest (50%) | Oct 11, 2005 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20070524000000 | OH | Part a Provider - Hospital | 6002884582 |
1 other NPI on this enrollment Practice locations: Springfield, OH; Fairborn, OH |
| O20201028000633 | OH | Part B Supplier - Intensive Cardiac Rehabilitation | 6002884582 |
Receives reassigned benefits from 1 practitioner Practice locations: Springfield, OH |
National Provider Directory
Locations
225 E 2nd Ave
Ste 104
Escondido, CA 92025
Phone (858) 815-2550
30 W McCreight Ave
Ste 201
Springfield, OH 45504
Phone (937) 324-8200
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Acute Care Hospital | 282N00000X | Yes |
Addresses
Primary practice location
100 Medical Center Drive
Springfield, OH 45504
Mailing address
PO Box 636374
Patient Financial Services
Cincinnati, OH 45263-6374
Phone (937) 523-1001
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5887634 | Medicaid | OH |
Other names
- MERCY HEALTH - SPRINGFIELD REGIONAL MEDICAL CENTER
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://172.254.9.13:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service | Other | BLUEMARK |
Other providers in Springfield, OH
- David P. Comer
- Tricia Lynne Comer
- Comfort Keepers Inc.
- Community Mercy Health Partners
- Community Mercy Health Partners
- Community Mercy Health Partners
- Community Mercy Health Partners
- Community Mercy Health Partners
- Community Mercy Health Partners
- Community Mercy Health Partners
All providers in Springfield, OH · General Acute Care Hospital in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 2, 2021. 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.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.