Trinity Hospital Twin City
Organization Active NPI Critical Access Hospital · Dennison, OH
NPI 1992096192 · NPPES record last updated Sep 14, 2023
Key facts
- NPI
- 1992096192
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Critical Access Hospital 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
- Organization subpart
- No
Authorized official
- Name
- Mr. Dwayne Richardson, MSN, BSN, RN.
- Title
- President
- Phone
- (740) 922-7450
Owners & managing parties with NPI records 4
-
John Columbus, MD
-
Charn S Nandra, M.D.
Other NPIs with the same Medicare PAC ID 5
Member of 1
Related certifications (CCN) 5
Facilities with the same owner 18
Practitioners 61
-
Bethany Rachelle Amicone, FNP-C
-
Stuart K Brown, DO
-
Timothy A McKnight, M.D.
-
Laura E McMorrow, APRN, FNP-C
-
Jennifer L. Ney, D.O.
-
Katelyn Michelle Obermiller, FNP-BC
-
Sarah Lynn Smith, APRN-CNP
-
Eric Charles Snyder, CRNP
-
Benjamin Turner, MD
-
Julia Marie Bologna, CNP
-
Ghulam Rabbani Aziz, M.D.
-
Andrew Beistel, DO
-
Medha Choudhary, MD
-
John Columbus, MD
-
Roger Garcia, D.O.
-
Thomas Daniel Gifford, D.O,
-
Neal D Harding, MD
-
Miranda Huffman, CPNP
-
Zachary Jackson, DO
Affiliated clinicians 71
-
Maaz Ahmed, MD
-
Bethany Rachelle Amicone, FNP-C
-
Mathew Armstrong, MSN FNP-BC
-
Ryan Aston, PA-C
-
Ghulam Rabbani Aziz, M.D.
-
Andrew Beistel, DO
-
Alok Bhagat, M.D.
-
Julia Marie Bologna, CNP
-
Stuart K Brown, DO
-
John Stanley Burnham, M.D.
-
Khurram Butt, M.D.
-
Autumn Campbell, PA-C
-
Laurel Ann Carroll, APRN
-
Medha Choudhary, MD
-
Jeffrey R Clark, MD
-
Sean Michael Downes, M.D.
-
Brendan K Duffy, M.D.
-
Michele Dawn Fleak, M.D.,
-
Laura H Fries, MSN, CNP, FNP-C
-
Sabrina L Funk, AGACNP
-
Roger Garcia, D.O.
-
Wayne D Gross, D.O.
Medicare Care Compare: Hospital
- Listed as
- Twin City Medical Center
- Type
- Critical Access Hospitals
- Ownership
- Voluntary non-profit - Church
- Medicare certification status
- Active
- Emergency services
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in OH
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
- Corporation · Non-profit
- Incorporated
- Mar 2, 2011 in OH
- Enrollment address
- 819 N 1St St
Dennison, OH 44621-1003
All disclosed owners & managing parties 25
| Name | Role | Since | Share |
|---|---|---|---|
| Doug Lawson |
Corporate Officer |
Mar 1, 2018 | |
| James E May |
Corporate Officer |
Jan 6, 2025 | |
| Sylvania Franciscan Health |
5% Or Greater Indirect Ownership Interest | Jun 1, 2020 | 100% |
| Commonspirit Health |
5% Or Greater Indirect Ownership Interest | Jun 1, 2020 | 100% |
| Charn S Nandra |
Corporate Director |
Jun 1, 2021 | |
| Trinity Health System |
5% Or Greater Direct Ownership Interest | Jul 1, 2017 | 100% |
| Claudia Bronsing |
Corporate Director |
Apr 28, 2022 | |
| Teresa Gagliardi |
Corporate Officer |
Apr 28, 2022 | |
| Jeffrey Neidig |
Corporate Director |
Jul 1, 2024 | |
| Dave Werkin |
Corporate Officer |
Aug 14, 2017 | |
| Karla Gregory-Martin |
Corporate Director |
Jul 1, 2021 | |
| Joseph Luckino |
Corporate Director |
Apr 28, 2022 | |
| Shawn Blake |
Corporate Director |
May 8, 2024 | |
| Dennis Wolters |
Corporate Director |
Jul 1, 2017 | |
| William Schaefer |
Corporate Officer |
Jul 1, 2021 | |
| Jason Elliott |
Corporate Director |
Jul 1, 2024 | |
| John Columbus |
Corporate Director |
Jan 1, 2023 | |
| David Skiviat |
Corporate Officer |
Jul 1, 2021 | |
| Corporate Director |
Jul 1, 2017 | ||
| Michelle Gorman |
Corporate Director |
Jul 1, 2024 | |
| Samuel Licata |
Corporate Officer |
Jan 1, 2023 | |
| Dwayne Richardson |
Corporate Officer |
Mar 8, 2021 | |
| W-2 Managing Employee |
Mar 8, 2021 | ||
| Shawn Hervey |
Corporate Director |
Jul 1, 2024 | |
| Aaron P Provenzano |
Corporate Director |
Jun 1, 2021 | |
| Rita Dutton |
Corporate Director |
Jul 1, 2023 | |
| Brenan Pergi |
Corporate Director |
Jul 1, 2024 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 |
National Provider Directory
Locations
819 N 1st St
Ste 100
Dennison, OH 44621
819 N 1st St
Fl 2
Dennison, OH 44621
Phone (330) 385-9355
340 Oxford St
Ste 220
Dover, OH 44622
Phone (330) 364-8011
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | |||
| Internal Medicine Physician |
207R00000X | |||
| Cardiovascular Disease Physician |
207RC0000X | |||
| Pulmonary Disease Physician |
207RP1001X | |||
| Sleep Medicine (Internal Medicine) Physician |
207RS0012X | |||
| Obstetrics & Gynecology Physician |
207V00000X | |||
| Surgery Physician |
208600000X | |||
| Podiatrist |
213E00000X | |||
| Critical Access Hospital | 282NC0060X | Yes | ||
| Acute Care Nurse Practitioner |
363LA2100X | |||
| Adult Health Nurse Practitioner |
363LA2200X | |||
| Family Nurse Practitioner |
363LF0000X | |||
| Gerontology Nurse Practitioner |
363LG0600X | |||
| Pediatric Nurse Practitioner |
363LP0200X | |||
| Primary Care Nurse Practitioner |
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
Other providers in Dennison, OH
- Ten Lakes Center, LLC
- Jennifer M Thomas
- Tricounty Radiology Associates
- Trinity Hospital Twin City
- Trinity Hospital Twin City
- Twin City Chiropractic Health & Wellness Inc..
- Twin City Hospital Corporation
- Twin City Hospital Corporation
- Twin City Hospital Corporation
- Twin City Hospital Home Health Agency
All providers in Dennison, OH · Critical Access Hospital in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 14, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.