Healthcare Provider Details

I. General information

NPI: 1770656613
Provider Name (Legal Business Name): MERCER COUNTY JOINT TOWNSHIP COMMUNITY HOSPITAL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/16/2006
Last Update Date: 10/14/2020
Certification Date: 10/14/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

800 W MAIN ST
COLDWATER OH
45828-1698
US

IV. Provider business mailing address

800 W MAIN ST
COLDWATER OH
45828-1698
US

V. Phone/Fax

Practice location:
  • Phone: 419-678-2341
  • Fax: 419-678-3271
Mailing address:
  • Phone: 419-678-2341
  • Fax: 419-678-3271

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code275N00000X
TaxonomyMedicare Defined Swing Bed Hospital Unit
License Number
License Number State

VIII. Authorized Official

Name: JON DINGLEDINE
Title or Position: CFO/COO
Credential:
Phone: 419-678-5104