Organization
WYANDOT MEMORIAL HOSPITAL
Active
Parent organization
WYANDOT MEMORIAL HOSPITAL
Other names
Wyandot Medical Providers at Sycamore
Organization subpart
Yes
Provider details
NPI number
Legal business name
WYANDOT MEMORIAL HOSPITAL
Authorized official
TY R SHAULL (PRESIDENT & CEO)
(419) 294-4991
Entity
Organization
Contact information
Practice address
412 W SAFFEL AVE, SYCAMORE, OH 44882-9763
(419) 927-6552
(419) 927-6500
Mailing address
885 N SANDUSKY AVE, UPPER SANDUSKY, OH 43351-1098
(419) 294-4991
(419) 209-0278
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9687512
—
OH
Enumeration date
02/19/2018
Last updated
08/17/2022
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