# WYANDOT MEMORIAL HOSPITAL

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** WYANDOT MEMORIAL HOSPITAL
- **Other names:** UrgentCare
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1952774689
- **Legal business name:** WYANDOT MEMORIAL HOSPITAL
- **Authorized official:** TY R SHAULL (PRESIDENT & CEO)
- **Authorized official phone:** (419) 294-4991

## Contact information

- **Practice address:** 423 W CHURCH ST, UPPER SANDUSKY, OH 43351-1038
- **Practice address phone:** (419) 294-4051
- **Practice address fax:** (419) 294-0467
- **Mailing address:** 885 N SANDUSKY AVENUE, UPPER SANDUSKY, OH 43351-1098
- **Mailing address phone:** (419) 294-4991
- **Mailing address fax:** (419) 294-2233

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2083X0100X | Occupational Medicine Physician | — | NULL | — |
| 2083X0100X | Occupational Medicine Physician | — | — | — |
| 261QU0200X | Urgent Care Clinic/Center | 1296 | OH | Yes |

## Other

- **Enumeration date:** 11/03/2015
- **Last updated:** 12/12/2023