NPIMap

Organization Active NPI

Joint Township District Memorial Hospital

  • General Acute Care Hospital
  • Saint Marys, OH
National Provider Identifier
1235650326
Registry record updated May 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
Legal business name
JOINT TOWNSHIP DISTRICT MEMORIAL HOSPITAL
Practice address
200 Saint Clair Ave
Saint Marys, OH 45885-2400
Phone
(419) 394-3335
Fax
(419) 394-8485
NPI assigned
Jun 29, 2017
Organization subpart
Yes
Parent organization
JOINT TOWNSHIP DISTRICT MEMORIAL HOSPITALAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 8, 2024

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

Authorized official

Name
Tricia Ann Pohl
Title
Cfo
Phone
(419) 394-3387

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Hospital Unit 273R00000X
General Acute Care Hospital 282N00000X Primary

Addresses

Primary practice location

200 Saint Clair Ave
Saint Marys, OH 45885-2400

Mailing address

200 Saint Clair Ave
Saint Marys, OH 45885-2400
Phone (419) 394-3335

Other names 1

  • GLHS Inpatient Psychiatric Services Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170807000786 OH Part A Provider - Hospital 3870491590 Practice locations: Saint Marys, OH

Hospital certification: CCN 36S032

Legal name
JOINT TOWNSHIP DISTRICT MEMORIAL HOSPITAL
Doing business as
GLHS INPATIENT PSYCHIATRIC SERVICES
Organization structure
CorporationNon-profit
Incorporated
Mar 10, 1989 in OH
Enrollment address
200 Saint Clair Ave
Saint Marys, OH 45885-2400
Hospital Psychiatric Unit
Hospital subgroups
Psychiatric

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs with the same Medicare PAC ID 5

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

National Provider Directory

National Provider Directory
Tax ID family
Joint Township District5 organizations share this tax ID, including this one
Part of
Joint Township District

Other organizations with this tax ID 4

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

Ownership & related parties

All disclosed owners & managing parties 12

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

NameRoleSinceShare
Claudia Coe Individual Corporate DirectorMember Sep 1, 2017
Randall W. Niekamp Individual Corporate DirectorMember Jan 1, 2021
Connie H Meiring Individual Corporate DirectorBoard Member May 1, 2026
Christopher John Stucke Individual Corporate DirectorMember Jan 1, 2024
Kenneth Lee Fox Individual Corporate DirectorMember Jan 1, 2020
Tricia a Pohl Individual Corporate OfficerChief Financial Officer Jan 3, 2022
W-2 Managing EmployeeChief Financial Officer Jan 3, 2022
Operational/Managerial ControlChief Financial Officer Jan 3, 2022
Brian Schlosser Individual Corporate DirectorMember Jul 1, 2022
Jeffrey P. Squire Individual Corporate DirectorMember Jan 1, 2020
Michael J Boley Individual Corporate DirectorMember Jan 1, 2025
Wally B. Wagner Individual Corporate DirectorMember Jan 1, 2020
Cynthia Berning Individual Corporate OfficerPresident and Ceo Dec 16, 2020
W-2 Managing EmployeePresident and Ceo Dec 16, 2020
Operational/Managerial ControlPresident and Ceo Dec 16, 2020
Lana Hinders Individual Operational/Managerial ControlManaging Employee May 6, 2024

Owners & managing parties with NPI records 2

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

All facility ownership & control disclosures 3

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

FacilityTypeRoleSince
Vancrest of St Mary'SSaint Marys, OH, CCN 365232 Skilled nursing facility 5% Or Greater Direct Ownership Interest (25%) Oct 16, 2019
Grand Lake Home HealthSaint Marys, OH, CCN 367405 Home health agency Operational/Managerial Control Jan 1, 1990
Grand Lake HospiceSt Marys, OH, CCN 361636 Hospice Operational/Managerial Control (100%) Oct 18, 2006

Owned or controlled facilities with NPI records 3

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

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1498694400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715126400000",
    "number": "1235650326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 SAINT CLAIR AVE",
            "city": "SAINT MARYS",
            "state": "OH",
            "postal_code": "458852400",
            "telephone_number": "419-394-3335",
            "fax_number": "419-394-8485"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 SAINT CLAIR AVE",
            "city": "SAINT MARYS",
            "state": "OH",
            "postal_code": "458852400",
            "telephone_number": "419-394-3335",
            "fax_number": "419-394-8485"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOINT TOWNSHIP DISTRICT MEMORIAL HOSPITAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "JOINT TOWNSHIP DISTRICT MEMORIAL HOSPITAL",
        "enumeration_date": "2017-06-29",
        "last_updated": "2024-05-08",
        "certification_date": "2024-05-08",
        "status": "A",
        "authorized_official_last_name": "POHL",
        "authorized_official_first_name": "TRICIA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "419-394-3387"
    },
    "taxonomies": [
        {
            "code": "273R00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Unit",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GLHS Inpatient Psychiatric Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Saint Marys, OH

Sources for this page

Verify at the official NPI Registry.