Provider Demographics
NPI:1609963198
Name:MERCER COUNTY JOINT TOWNSHIP COMMUNITY HOSPITAL
Entity Type:Organization
Organization Name:MERCER COUNTY JOINT TOWNSHIP COMMUNITY HOSPITAL
Other - Org Name:MERCER HEALTH MEDICAL EQUIPMENT
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CFO/COO
Authorized Official - Prefix:
Authorized Official - First Name:JON
Authorized Official - Middle Name:
Authorized Official - Last Name:DINGLEDINE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:419-678-5104
Mailing Address - Street 1:909 E WAYNE ST STE 108
Mailing Address - Street 2:
Mailing Address - City:CELINA
Mailing Address - State:OH
Mailing Address - Zip Code:45822-3304
Mailing Address - Country:US
Mailing Address - Phone:419-584-1973
Mailing Address - Fax:419-584-1723
Practice Address - Street 1:800 W MAIN ST
Practice Address - Street 2:
Practice Address - City:COLDWATER
Practice Address - State:OH
Practice Address - Zip Code:45828-1613
Practice Address - Country:US
Practice Address - Phone:419-678-2341
Practice Address - Fax:419-678-3271
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-06
Last Update Date:2020-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0737699Medicaid
OH0398540002Medicare NSC
OH0737699Medicaid