Organization
COMMUNITY MEMORIAL HOSPITAL
Active
Parent organization
COMMUNITY MEMORIAL HOSPITAL
Other names
Mark, Milford, Hcksville Joint Township Hospital District, Antwerp Family Health Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
COMMUNITY MEMORIAL HOSPITAL
Authorized official
JANEY ZACHRICH (CEO)
(419) 542-5566
Entity
Organization
Contact information
Practice address
107 BUFFALO ST, ANTWERP, OH 45813-8434
(419) 542-5495
Mailing address
208 COLUMBUS ST, HICKSVILLE, OH 43526-1299
(419) 542-5566
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3613011
—
OH
Enumeration date
10/24/2018
Last updated
10/23/2019
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