NPIMap

Organization Active NPI

City of Wooster

Doing business as Wooster Community Hospital

  • General Acute Care Hospital
  • Wooster, OH
National Provider Identifier
1437156247
Registry record updated Jul 31, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
Legal business name
CITY OF WOOSTER
Doing business as
Wooster Community Hospital
Practice address
1761 Beall Ave
Wooster, OH 44691-2342
Phone
(330) 263-8100
Fax
(330) 263-8525
NPI assigned
Jul 7, 2005
Last updated
Jul 31, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2007

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

Authorized official

Name
Mr. Scott A Boyes
Title
Director of Fiscal Services Cfo
Phone
(330) 263-8148

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X Primary

Addresses

Primary practice location

1761 Beall Ave
Wooster, OH 44691-2342

Mailing address

1761 Beall Ave
Wooster, OH 44691-2342
Phone (330) 263-8100

Other identifiers 2

IdentifierTypeStateIssuer
9656251MedicaidOH
000000113175OtherOHATNEHM BLUE CROSS

Other names 1

  • Wooster Community Hospital Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20061114000011 OH Part A Provider - Hospital 7810886710 Practice locations: Wooster, OH

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1437156247. Details of each certification follow.

Hospital certification: CCN 360036

Legal name
CITY OF WOOSTER
Doing business as
WOOSTER COMMUNITY HOSPITAL
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Jul 1, 1966
Last certification
Oct 2, 2003
Beds
207
Ownership / control type
Local
Organization structure
OtherNon-profit
Incorporated
Sep 23, 1947 in OH
Enrollment address
1761 Beall Ave
Wooster, OH 44691-2342
Other Hospital Practice Location
Hospital subgroups
Acute care, Rehabilitation unit

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

Other NPIs with the same Medicare PAC ID 4

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

Care Compare: Hospital

Medicare Care Compare
Listed as
Wooster Community HospitalCCN 360036 · All quality measures
Overall star rating
4 of 5
Type
Acute Care Hospitals
Ownership
Government - Local
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 3

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

NameRoleSinceShare
Scott Boyes Individual Corporate Officer Apr 1, 1999
Corporate DirectorCeo Apr 1, 1999
W-2 Managing EmployeeCeo Apr 1, 1999
City of Wooster Organization, Wooster, OH 5% Or Greater Direct Ownership Interest Sep 23, 1966 100%
Jason Rohr Individual Corporate OfficerCfo Jun 20, 2024

Owners & managing parties with NPI records 4

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

  • City of Wooster

    dba Wooster Division of Fire

    • Land Ambulance
    • Wooster, OH
    • NPI 1417949272

    5% Or Greater Direct Ownership Interest

    CMS ownership
  • City of Wooster
    • Home Health Agency
    • Wooster, OH
    • NPI 1467472886

    5% Or Greater Direct Ownership Interest

    CMS ownership
  • City of Wooster

    dba Wooster Community Hospital

    • Rehabilitation Hospital
    • Wooster, OH
    • NPI 1528195872

    5% Or Greater Direct Ownership Interest

    CMS ownership
  • City of Wooster

    dba Wooster Community Hospital SNF

    • Skilled Nursing Facility
    • Wooster, OH
    • NPI 1851665566

    5% Or Greater Direct Ownership Interest

    CMS ownership

All facility ownership & control disclosures 3

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

FacilityTypeRoleSince
Wooster Community HospitalWooster, OH, CCN 36T036 Hospital 5% Or Greater Direct Ownership Interest (100%) Jan 1, 1966
Wooster Community Hospital SNFWooster, OH, CCN 366405 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Adp of the SNF		 Nov 16, 2011
Nov 16, 2011
Wooster Community Hospital Home Health ServicesWooster, OH, CCN 367624 Home health agency 5% Or Greater Direct Ownership Interest (100%) Jan 10, 1995

Owned or controlled facilities with NPI records 3

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

  • City of Wooster
    • Home Health Agency
    • Wooster, OH
    • NPI 1467472886

    5% Or Greater Direct Ownership Interest

    CMS ownership
  • City of Wooster

    dba Wooster Community Hospital

    • Rehabilitation Hospital
    • Wooster, OH
    • NPI 1528195872

    5% Or Greater Direct Ownership Interest

    CMS ownership
  • City of Wooster

    dba Wooster Community Hospital SNF

    • Skilled Nursing Facility
    • Wooster, OH
    • NPI 1851665566

    5% Or Greater Direct Ownership Interest, Adp of the SNF

    CMS ownership

Facilities with the same owner 3

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners & affiliated clinicians

Practitioners 50

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 50

Affiliated clinicians 370

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

View all 370

NPI Registry JSON

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

{
    "created_epoch": "1120694400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1185840000000",
    "number": "1437156247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1761 BEALL AVE",
            "city": "WOOSTER",
            "state": "OH",
            "postal_code": "446912342",
            "telephone_number": "330-263-8100",
            "fax_number": "330-263-8525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1761 BEALL AVE",
            "city": "WOOSTER",
            "state": "OH",
            "postal_code": "446912342",
            "telephone_number": "330-263-8100",
            "fax_number": "330-263-8525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF WOOSTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-07",
        "last_updated": "2007-07-31",
        "status": "A",
        "authorized_official_last_name": "BOYES",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "DIRECTOR OF FISCAL SERVICES CFO",
        "authorized_official_telephone_number": "330-263-8148",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9656251",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ATNEHM BLUE CROSS",
            "identifier": "000000113175",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wooster Community Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Wooster, OH

Sources for this page

Verify at the official NPI Registry.