# MEMORIAL HOSPITAL

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Memorial Women's Health Services
- **Organization subpart:** No

## Provider details

- **NPI number:** 1184939910
- **Authorized official:** MR. RICHARD RUPPEL (CHIEF FINANCIAL OFFICER)
- **Authorized official phone:** (419) 334-6625

## Contact information

- **Practice address:** 455 W MCPHERSON HWY, SUITE B, CLYDE, OH 43410-1132
- **Practice address phone:** (419) 333-2798
- **Mailing address:** 455 W MCPHERSON HWY, SUITE B, CLYDE, OH 43410-1132
- **Mailing address phone:** (419) 333-2798

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | — | NULL | Yes |
| 207V00000X | Obstetrics & Gynecology Physician | — | — | Yes |

## Other

- **Enumeration date:** 08/17/2010
- **Last updated:** 08/17/2010
