Organization
WYANDOT MEMORIAL HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TY SHAULL (CHIEF OPERATING OFFICER)
(419) 294-4991
Entity
Organization
Contact information
Practice address
885 N. SANDUSKY AVENUE, UPPER SANDUSKY, OH 43351-1098
(419) 294-4991
(419) 294-6263
Mailing address
885 N. SANDUSKY AVENUE, UPPER SANDUSKY, OH 43351-1098
(419) 294-4991
(419) 294-6263
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
HMEL.11059
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2237154
—
OH
Enumeration date
10/10/2006
Last updated
09/03/2013
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