NPIMap

Organization Active NPI

Lodi Community Hospital

  • Critical Access Hospital
  • Lodi, OH
National Provider Identifier
1801807870
Registry record updated Aug 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Access HospitalTaxonomy code 282NC0060X
Legal business name
LODI COMMUNITY HOSPITAL
Practice address
225 Elyria St
Lodi, OH 44254-1031
Phone
(330) 948-1222
Fax
(330) 948-5545
NPI assigned
Aug 11, 2006
Last updated
Aug 25, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2025

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

Authorized official

Name
Dennis Laraway
Title
Executive VP Chief Finance Officer
Phone
(216) 445-1343

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Access Hospital 282NC0060X Primary

Addresses

Primary practice location

225 Elyria St
Lodi, OH 44254-1031

Mailing address

6801 Brecksville Rd
Ste 20, Attn: DPC RK2-7
Independence, OH 44131-5062

Other identifiers 1

IdentifierTypeStateIssuer
5243669MedicaidOH

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040915000018 OH Part B Supplier - Clinic/Group Practice 0547237927 Receives reassigned benefits from 5 practitioners
Practice locations: Lodi, OH
O20070510000002 OH Part A Provider - Critical Access Hospital 0547237927 Practice locations: Lodi, OH

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1801807870. Details of each certification follow.

Hospital certification: CCN 361303

Legal name
LODI COMMUNITY HOSPITAL
Certification status
Active
Provider type (POS)
Hospital – Critical access hospital
Participating since
Mar 1, 2001
Last certification
Jul 23, 2015
Beds
20
Ownership / control type
Private (not for profit)
Organization structure
CorporationNon-profit
Incorporated
May 1, 1920 in OH
Enrollment address
225 Elyria St
Lodi, OH 44254-1031
Main/Primary Hospital Location
Hospital subgroups
Other

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

Other NPIs with the same Medicare PAC ID 1

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

Care Compare: Hospital

Medicare Care Compare
Listed as
Lodi Community HospitalCCN 361303 · All quality measures
Type
Critical Access Hospitals
Ownership
Voluntary non-profit - Private
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory
Tax ID family
Lodi Community Hospital3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Member of 2

Organizations this organization is a member of, according to the National Provider Directory.

Locations

402 Highland Dr
Lodi, OH 44254
Phone (330) 948-1555

Ownership & related parties

All disclosed owners & managing parties 37

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

NameRoleSinceShare
William R. Feth Individual Corporate DirectorDirector - Board of Directors Aug 1, 2016
Laura Dicola Individual Corporate DirectorBoard of Directors - Director Nov 15, 2021
Carla Chapman Individual Corporate DirectorBoard of Directors - Director May 19, 2023
Richard C. Fedorovich Individual Corporate DirectorDirector - Board of Directors May 26, 2016
Michael McGaugh Individual Corporate DirectorBoard of Directors - Director Oct 14, 2020
The Cleveland Clinic Foundation Organization, Cleveland, OH Corporation 5% Or Greater Indirect Ownership Interest Nov 1, 2015 100%
Doreen Meredith Individual W-2 Managing EmployeeCredentialing Specialist Mar 1, 2017
Charles Billow Individual Corporate DirectorDirector - Board of Directors May 26, 2016
Donna Skoda Individual Corporate DirectorBoard of Directors - Director Feb 7, 2024
Dennis L Laraway Individual Corporate OfficerChief Financial Officer Mar 13, 2023
Karen Sealy Individual Corporate DirectorBoard of Directors - Director Nov 15, 2021
David Paul Hedrick Individual Corporate DirectorBoard of Directors - Director May 20, 2022
Sylvia D Trundle Individual Corporate DirectorBoard of Directors - Director May 11, 2020
Mark P Malloy Individual Corporate OfficerVP of Finance Jul 19, 2024
Corporate DirectorBoard of Directors - Director Nov 5, 2020
Stephanie Santin Individual W-2 Managing Employee Dec 1, 2023
Jessica McArdle Individual W-2 Managing EmployeeDepartment Analyst I Dec 1, 2023
Jose Vasquez, MD Individual Corporate DirectorDirector - Board of Directors Aug 12, 2024
Kathleen Rogers Individual Corporate DirectorBoard of Directors - Director May 19, 2023
Theresa Carter Individual Corporate DirectorDirector - Board of Directors Jun 1, 2016
Jorge Alberto Guzman Individual Corporate DirectorBoard of Directors - Director Jul 1, 2024
Erin L Simon Individual Corporate DirectorBoard of Directors - Director May 20, 2022
Pamela Miller Individual Corporate DirectorDirector - Board of Directors Jun 22, 2016
David Frigo Individual Corporate OfficerTreasurer Dec 3, 2014
Diane Miller-Dawson Individual Corporate DirectorDirector - Board of Directors Jun 1, 2016
Kris L Bennett Individual Corporate DirectorDirector - Board of Directors Dec 19, 2018
Heidi Sathre Individual W-2 Managing EmployeeProvider Enrollment Auditor Mar 1, 2017
Daniel E Vazquez Individual Corporate DirectorBoard of Directors - Director May 19, 2023
Mark Lerner Individual Corporate DirectorDirector - Board of Directors May 26, 2016
Rachel Byrnes Individual W-2 Managing Employee Jun 1, 2022
Akron General Medical Center Organization, Akron, OH Non-profit 5% Or Greater Direct Ownership Interest Sep 5, 2011 100%
Dragana Rodic Individual W-2 Managing EmployeeDepartment Analyst I Mar 1, 2024
Bret Treier Individual Corporate DirectorDirector - Board of Directors Jun 1, 2016
David Pellegrini Individual Corporate DirectorBoard of Directors - Director May 29, 2020
Silpa Balachandran Individual Corporate DirectorDirector - Board of Directors May 10, 2024
Zachary David Jerusalem Individual Corporate DirectorBoard of Directors - Director May 10, 2024
Theresa a Lash-Ritter Individual W-2 Managing EmployeePresident Feb 1, 2025
Robert Oblander Individual Corporate OfficerSecretary Jul 26, 2016

Owners & managing parties with NPI records 24

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

View all 24

Facilities with the same owner 32

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

View all 32

Practitioners & affiliated clinicians

Practitioners 13

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 13

Affiliated clinicians 220

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

View all 220

NPI Registry JSON

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

{
    "created_epoch": "1155254400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756080000000",
    "number": "1801807870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6801 BRECKSVILLE RD",
            "address_2": "STE 20, ATTN: DPC RK2-7",
            "city": "INDEPENDENCE",
            "state": "OH",
            "postal_code": "441315062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 ELYRIA ST",
            "city": "LODI",
            "state": "OH",
            "postal_code": "442541031",
            "telephone_number": "330-948-1222",
            "fax_number": "330-948-5545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LODI COMMUNITY HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-11",
        "last_updated": "2025-08-25",
        "certification_date": "2025-08-25",
        "status": "A",
        "authorized_official_last_name": "LARAWAY",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_title_or_position": "EXECUTIVE VP CHIEF FINANCE OFFICER",
        "authorized_official_telephone_number": "216-445-1343"
    },
    "taxonomies": [
        {
            "code": "282NC0060X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Critical Access",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5243669",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lodi, OH

Sources for this page

Verify at the official NPI Registry.