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Organization

MCCULLOUGH-HYDE MEMORIAL HOSPITAL, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MICHAEL W CROFTON (VICE PRESIDENT)
(513) 569-6577
Entity
Organization

Contact information

Practice address
110 N POPLAR ST, OXFORD, OH 45056-1204
(513) 523-2111
(513) 524-5665
Mailing address
4685 FOREST AVE, CINCINNATI, OH 45212-3397
(513) 852-8525

Taxonomy

Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000002696
ANTHEM-FACILITY
01
000000003325
ANTHEM-PATHOLOGY
01
000000321430
ANTHEM-REFERENCE LABORATO
01
0068681
AETNA
05
01541978
KY
05
100275870
IN
05
200180950
IN
01
35
CHOICECARE INPATIENT
01
36
CHOICE CARE OUTPATIENT
05
5710707
OH
Enumeration date
12/22/2005
Last updated
01/05/2026
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