Organization
MEMORIAL HOSPITAL
Active
Parent organization
MEMORIAL HOSPITAL
Other names
Hospice of Memorial Hospital
Organization subpart
Yes
Provider details
NPI number
Legal business name
MEMORIAL HOSPITAL
Authorized official
MR. ROBERT W LITTELMANN (EXECUTIVE DIRECTOR)
(419) 334-6661
Entity
Organization
Contact information
Practice address
430 S MAIN ST, CLYDE, OH 43410-2142
(419) 547-6419
(419) 547-9459
Mailing address
715 SOUTH TAFT AVENUE, FREMONT, OH 43420-3200
(419) 332-7321
(419) 332-5875
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
0054HSP
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0820204
—
OH
Enumeration date
06/13/2006
Last updated
09/03/2013
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