Organization
WYANDOT MEMORIAL HOSPITAL
Active
Other names
Wyandot Medical Providers at Tarhe
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TY R SHAULL (PRESIDENT & CEO)
(419) 294-4991
Entity
Organization
Contact information
Practice address
245 TARHE TRL, UPPER SANDUSKY, OH 43351-8700
(419) 294-1525
(419) 209-0252
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
—
0394798
—
OH
Enumeration date
12/26/2017
Last updated
09/12/2025
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