NPIMap

Organization Active NPI

Pomerene Hospital

  • Critical Access Hospital
  • Millersburg, OH
National Provider Identifier
1770957185
Registry record updated May 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Access HospitalTaxonomy code 282NC0060X
License
0008MAT Issued in OH
Legal business name
POMERENE HOSPITAL
Practice address
981 Wooster Rd
Millersburg, OH 44654-1536
Phone
(330) 674-1584
Fax
(330) 674-9314
NPI assigned
Nov 23, 2015
Last updated
May 20, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 20, 2026

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

Authorized official

Name
Tia Cernava
Title
Cfo
Phone
(330) 674-1015

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Access Hospital 282NC0060X 0008MAT OH Primary

Addresses

Primary practice location

981 Wooster Rd
Millersburg, OH 44654-1536

Mailing address

981 Wooster Rd
Millersburg, OH 44654-1536
Phone (330) 674-1584

Other identifiers 1

IdentifierTypeStateIssuer
0169864MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20160208000863 OH Part B Supplier - Clinic/Group Practice 5496856270 Receives reassigned benefits from 102 practitioners
Practice locations: Millersburg, OH
O20251203001659 OH Part A Provider - Critical Access Hospital 5496856270 Practice locations: Millersburg, OH; Berlin, OH
O20260515002436 OH Part A Provider - Critical Access Hospital 5496856270 Practice locations: Millersburg, OH; Berlin, OH

NPI to CCN mapping 2

The Medicare certification numbers (CCNs) connected to NPI 1770957185. Details of each certification follow.

Hospital certification: CCN 361337

Legal name
POMERENE HOSPITAL
Certification status
Active
Provider type (POS)
Hospital – Critical access hospital
Participating since
Feb 20, 2026
Last certification
Feb 20, 2026
Beds
55 (25 certified)
Ownership / control type
Private (not for profit)
Organization structure
CorporationNon-profit
Enrollment address
981 Wooster Rd
Millersburg, OH 44654-1536
Main/Primary Hospital Location

Hospital certification: CCN 36Z337

Legal name
POMERENE HOSPITAL
Organization structure
CorporationNon-profit
Enrollment address
981 Wooster Rd
Millersburg, OH 44654-1536
Main/Primary Hospital Location

National Provider Directory

National Provider Directory

Member organizations 2

Organizations listed as members of this organization in the National Provider Directory.

Locations

1237 Glen Dr
Millersburg, OH 44654
Phone 33067415845055

Interoperability endpoints

  • FHIR API: https://fhir.fhirpoint.open.allscripts.com/fhirroute/open/10052317

Ownership & related parties

All disclosed owners & managing parties 13

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

NameRoleSinceShare
Todd Sommer Individual Corporate DirectorBoard Member Jul 1, 2021
David M Findley Individual Corporate DirectorBoard Member Mar 1, 2016
Melvin J Yoder Individual Corporate DirectorChair Mar 1, 2016
Jamie Tippett Individual Corporate DirectorBoard Member Jul 1, 2024
Jane C Graven Individual Corporate DirectorSecretary Mar 1, 2016
Tia Cernava Individual Contracted Managing EmployeeCfo Sep 9, 2019
Corporate OfficerCfo Sep 9, 2019
Operational/Managerial ControlCfo Jan 1, 2025
Contracted Managing Employee Sep 9, 2019
Anne Gunther Individual Corporate OfficerCeo Jun 1, 2025
Operational/Managerial ControlCeo Jun 1, 2025
Daniel L Mathie Individual Corporate DirectorBoard Member Mar 1, 2016
Craig Mullet Individual Corporate DirectorBoard Member Mar 1, 2017
Sheila Knapp Individual Corporate DirectorVice Chair Mar 1, 2018
Ernest H Hershberger Individual Corporate DirectorBoard Member Mar 1, 2016
Leroy Yoder Individual Corporate DirectorBoard Member Mar 1, 2017
John Troyer Individual Corporate DirectorTreasurer Mar 1, 2018

All facility ownership & control disclosures 2

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

FacilityTypeRoleSince
Pomerene Family CareMillersburg, OH, CCN 363875 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Jun 15, 2017
Pomerene Family CareLoudonville, OH, CCN 363876 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Nov 1, 2020

Owned or controlled facilities with NPI records 2

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

Practitioners & affiliated clinicians

Practitioners 107

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 107

Affiliated clinicians 70

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

View all 70

NPI Registry JSON

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

{
    "created_epoch": "1448236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1779235200000",
    "number": "1770957185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "981 WOOSTER RD",
            "city": "MILLERSBURG",
            "state": "OH",
            "postal_code": "446541536",
            "telephone_number": "330-674-1584",
            "fax_number": "330-674-9314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "981 WOOSTER RD",
            "city": "MILLERSBURG",
            "state": "OH",
            "postal_code": "446541536",
            "telephone_number": "330-674-1584",
            "fax_number": "330-674-9314"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POMERENE HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-23",
        "last_updated": "2026-05-20",
        "certification_date": "2026-05-20",
        "status": "A",
        "authorized_official_last_name": "CERNAVA",
        "authorized_official_first_name": "TIA",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "330-674-1015"
    },
    "taxonomies": [
        {
            "code": "282NC0060X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Critical Access",
            "state": "OH",
            "license": "0008MAT",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0169864",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Millersburg, OH

Sources for this page

Verify at the official NPI Registry.