NPIMap

Organization Active NPI

Wayne Hospital Company

Doing business as Wayne Healthcare

  • Critical Access Hospital
  • Greenville, OH
National Provider Identifier
1184621161
Registry record updated Aug 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Access HospitalTaxonomy code 282NC0060X
Legal business name
WAYNE HOSPITAL COMPANY
Doing business as
Wayne Healthcare
Practice address
835 Sweitzer St
Greenville, OH 45331-1007
Phone
(937) 548-1141
Fax
(937) 547-5784
NPI assigned
Jul 5, 2005
Last updated
Aug 20, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2024

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

Authorized official

Name
Ms. Nicki Gillespie
Title
Cfo
Phone
(937) 569-6758

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Access Hospital 282NC0060X Primary

Addresses

Primary practice location

835 Sweitzer St
Greenville, OH 45331-1007

Mailing address

835 Sweitzer St
Greenville, OH 45331-1007
Phone (937) 548-1141

Other identifiers 8

IdentifierTypeStateIssuer
31365OtherOHBLACK LUNG
100275920AOtherOHINDIANA MEDICAID
36U044OtherOHMEDICARE SWING BED
5020011OtherOHUNITED HEALTHCARE
9250484MedicaidOH
0012795OtherOHTRICARE INPATIENT
0000003011OtherOHANTHEM
0023881OtherOHTRICARE OUTPATIENT

Other names 2

  • Wayne Healthcare Doing business as
  • Wayne Hospital Company Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040430001234 OH Part B Supplier - Clinic/Group Practice 8426046343 Receives reassigned benefits from 1 practitioner
2 other NPIs on this enrollment
Practice locations: Greenville, OH
O20240219003512 OH Part A Provider - Critical Access Hospital 8426046343 Receives reassigned benefits from 1 practitioner
Practice locations: Greenville, OH

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1184621161. Details of each certification follow.

Hospital certification: CCN 361335

Legal name
WAYNE HOSPITAL COMPANY
Doing business as
WAYNE HEALTHCARE
Certification status
Active
Provider type (POS)
Hospital – Critical access hospital
Participating since
Jun 13, 2024
Last certification
Aug 15, 2019
Beds
92
Ownership / control type
Private (not for profit)
Organization structure
CorporationNon-profit
Incorporated
Dec 10, 1920 in OH
Enrollment address
835 Sweitzer St
Greenville, OH 45331-1007
Main/Primary Hospital Location

Care Compare: Hospital

Medicare Care Compare
Listed as
Wayne HospitalCCN 361335 · All quality measures
Type
Critical Access Hospitals
Ownership
Voluntary non-profit - Private
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

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.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
36D2277187Wayne Healthcare835 Sweitzer St, Greenville, OH 45331Certificate of waiverFeb 22, 2027

National Provider Directory

National Provider Directory

Locations

820 Central Ave
Greenville, OH 45331
Phone (937) 548-1700

832 Sweitzer St
Greenville, OH 45331

618 E Elm St
Union City, OH 45390
Phone (937) 548-1141

Ownership & related parties

All disclosed owners & managing parties 17

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Mary Lynne Hawley Individual Corporate DirectorBoard Member Mar 1, 2018
Susan Shields Individual Corporate DirectorBoard Member Mar 1, 2018
Nicole Gillespie Individual Corporate OfficerCfo Nov 1, 2023
Corporate DirectorCfo Nov 1, 2023
Operational/Managerial ControlCfo Nov 1, 2023
Tonya Breymier Individual Corporate DirectorBoard Member Mar 1, 2021
Craig Ganger Individual Corporate DirectorBoard Member Jan 1, 2021
Anna E Hatic Individual Corporate DirectorBoard Member Mar 1, 2017
Jacob Broering Individual Corporate DirectorBoard Member Mar 1, 2022
Kathy Harper Individual Corporate DirectorBoard Member Jan 1, 2021
Travis Fliehman Individual Corporate DirectorBoard Member Mar 1, 2015
Eric Everman Individual Corporate DirectorBoard Member Mar 1, 2014
Daniel Watrel Individual Corporate DirectorBoard Member Mar 1, 2016
Janelle Brinksneader Individual Corporate DirectorBoard Member Mar 1, 2020
Alisha D Reiss Individual Corporate DirectorBoard Member Mar 1, 2022
Jeff Subler Individual Corporate OfficerCeo Apr 1, 2021
Corporate DirectorCeo Apr 1, 2021
Operational/Managerial ControlCeo Apr 1, 2021
Kara L Allread Individual Corporate DirectorBoard Member Mar 1, 2022
Mary Garman Individual Corporate DirectorBoard Member Jun 1, 2019
Caroline Schmidt Individual Corporate DirectorBoard Member Mar 1, 2017

Owners & managing parties with NPI records 3

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Subparts reporting this organization as parent 2

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 14

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 14

Affiliated clinicians 360

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 360

NPI Registry JSON

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

{
    "created_epoch": "1120521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724112000000",
    "number": "1184621161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "835 SWEITZER ST",
            "city": "GREENVILLE",
            "state": "OH",
            "postal_code": "453311007",
            "telephone_number": "937-548-1141",
            "fax_number": "937-547-5784"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "835 SWEITZER ST",
            "city": "GREENVILLE",
            "state": "OH",
            "postal_code": "453311007",
            "telephone_number": "937-548-1141",
            "fax_number": "937-547-5784"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WAYNE HOSPITAL COMPANY",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-05",
        "last_updated": "2024-08-20",
        "certification_date": "2024-08-20",
        "status": "A",
        "authorized_official_last_name": "GILLESPIE",
        "authorized_official_first_name": "NICKI",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "937-569-6758",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "282NC0060X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Critical Access",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLACK LUNG",
            "identifier": "31365",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIANA MEDICAID",
            "identifier": "100275920A",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE SWING BED",
            "identifier": "36U044",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "5020011",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9250484",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE INPATIENT",
            "identifier": "0012795",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "0000003011",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE OUTPATIENT",
            "identifier": "0023881",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wayne Healthcare",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Wayne Hospital Company",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Greenville, OH

Sources for this page

Verify at the official NPI Registry.