NPIMap

Organization Active NPI

Trinity Hospital Twin City

  • Critical Access Hospital
  • Dennison, OH
National Provider Identifier
1992096192
Registry record updated Sep 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Access HospitalTaxonomy code 282NC0060X
Legal business name
TRINITY HOSPITAL TWIN CITY
Practice address
819 N 1St St
Dennison, OH 44621-1003
Phone
(740) 922-2800
Fax
(740) 922-6945
NPI assigned
Apr 22, 2011
Last updated
Sep 14, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2023

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

Authorized official

Name
Mr. Dwayne Richardson, MSN, BSN, RN.
Title
President
Phone
(740) 922-7450

Specialties & licenses 15

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X
Cardiovascular Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RC0000X
Pulmonary Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RP1001X
Sleep Medicine (Internal Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RS0012X
Obstetrics & Gynecology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207V00000X
Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208600000X
PodiatristGroup: 193200000X MULTI-SPECIALTY GROUP 213E00000X
Critical Access Hospital 282NC0060X Primary
Acute Care Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LA2100X
Adult Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LA2200X
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LF0000X
Gerontology Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LG0600X
Pediatric Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP0200X
Primary Care Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP2300X

Addresses

Primary practice location

819 N 1St St
Dennison, OH 44621-1003

Mailing address

819 N 1St St
Dennison, OH 44621-1003
Phone (740) 922-2800

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20110712000566 OH Part A Provider - Critical Access Hospital 6204004534 Receives reassigned benefits from 52 practitioners
Practice locations: Dennison, OH; Dover, OH; Newcomerstown, OH
O20111206000207 OH Part B Supplier - Clinic/Group Practice 6204004534 Receives reassigned benefits from 49 practitioners
Practice locations: Newcomerstown, OH; Gnadenhutten, OH; Dover, OH; Dennison, OH

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1992096192. Details of each certification follow.

Hospital certification: CCN 361302

Legal name
TRINITY HOSPITAL TWIN CITY
Doing business as
TWIN CITY MEDICAL CENTER
Certification status
Active
Provider type (POS)
Hospital – Critical access hospital
Participating since
Jan 1, 2001
Last certification
Sep 21, 2013
Beds
25
Ownership / control type
Church
Most recent change of ownership
May 9, 2011 (2 total)
Organization structure
CorporationNon-profit
Incorporated
Mar 2, 2011 in OH
Enrollment address
819 N 1St St
Dennison, OH 44621-1003

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).

Care Compare: Hospital

Medicare Care Compare
Listed as
Twin City Medical CenterCCN 361302 · All quality measures
Type
Critical Access Hospitals
Ownership
Voluntary non-profit - Church
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory

Member of 1

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

Locations

6408 McKee Rd
Dennison, OH 44621
Phone (740) 922-7477

819 N 1st St
Fl 2
Dennison, OH 44621
Phone (330) 385-9355

819 N 1st St
Ste 100
Dennison, OH 44621

340 Oxford St
Ste 200
Dover, OH 44622
Phone (330) 364-8011

Ownership & related parties

All disclosed owners & managing parties 25

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

NameRoleSinceShare
Doug Lawson Individual Corporate OfficerRegion President Mar 1, 2018
James E May Individual Corporate OfficerInterim Ceo Jan 6, 2025
Sylvania Franciscan Health Organization, Toledo, OH Non-profit 5% Or Greater Indirect Ownership Interest Jun 1, 2020 100%
Commonspirit Health Organization, Englewood, CO Non-profit 5% Or Greater Indirect Ownership Interest Jun 1, 2020 100%
Charn S Nandra Individual Corporate DirectorPast President, Med Staff Jun 1, 2021
Trinity Health System Organization, Steubenville, OH Non-profit 5% Or Greater Direct Ownership Interest Jul 1, 2017 100%
Claudia Bronsing Individual Corporate DirectorBoard Member Apr 28, 2022
Teresa Gagliardi Individual Corporate OfficerBoard Vice Chair Apr 28, 2022
Jeffrey Neidig Individual Corporate DirectorBoard Member Jul 1, 2024
Dave Werkin Individual Corporate OfficerCfo Aug 14, 2017
Karla Gregory-Martin Individual Corporate DirectorBoard Member Jul 1, 2021
Joseph Luckino Individual Corporate DirectorBoard Member Apr 28, 2022
Shawn Blake Individual Corporate DirectorBoard Member/Foundation Chair May 8, 2024
Dennis Wolters Individual Corporate DirectorBoard Member Jul 1, 2017
William Schaefer Individual Corporate OfficerChairman Jul 1, 2021
Jason Elliott Individual Corporate DirectorBoard Member Jul 1, 2024
John Columbus Individual Corporate DirectorPresident Elect Med Staff Jan 1, 2023
David Skiviat Individual Corporate OfficerTreasurer Jul 1, 2021
Corporate DirectorBoard Member Jul 1, 2017
Michelle Gorman Individual Corporate DirectorBoard Member Jul 1, 2024
Samuel Licata Individual Corporate OfficerChief of Staff, Med Staff President Jan 1, 2023
Dwayne Richardson Individual Corporate OfficerPresident Mar 8, 2021
W-2 Managing EmployeeAd; Mar 8, 2021
Shawn Hervey Individual Corporate DirectorBoard Member Jul 1, 2024
Aaron P Provenzano Individual Corporate DirectorBoard Secretary Jun 1, 2021
Rita Dutton Individual Corporate DirectorBoard Membert Jul 1, 2023
Brenan Pergi Individual Corporate DirectorBoard Member Jul 1, 2024

Owners & managing parties with NPI records 4

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

Facilities with the same owner 18

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

View all 18

Practitioners & affiliated clinicians

Practitioners 61

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 61

Affiliated clinicians 71

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

View all 71

NPI Registry JSON

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

{
    "created_epoch": "1303430400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694649600000",
    "number": "1992096192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "819 N 1ST ST",
            "city": "DENNISON",
            "state": "OH",
            "postal_code": "446211003",
            "telephone_number": "740-922-2800",
            "fax_number": "740-922-6945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "819 N 1ST ST",
            "city": "DENNISON",
            "state": "OH",
            "postal_code": "446211003",
            "telephone_number": "740-922-2800",
            "fax_number": "740-922-6945"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRINITY HOSPITAL TWIN CITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-22",
        "last_updated": "2023-09-14",
        "certification_date": "2023-09-14",
        "status": "A",
        "authorized_official_last_name": "RICHARDSON",
        "authorized_official_first_name": "DWAYNE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "740-922-7450",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MSN, BSN, RN."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RS0012X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "282NC0060X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Critical Access",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Acute Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Adult Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Gerontology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Primary Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dennison, OH

Sources for this page

Verify at the official NPI Registry.