Organization
MEMORIAL HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KEVIN SHARP (VP REV CYCLE)
(567) 585-7576
Entity
Organization
Contact information
Practice address
715 SOUTH TAFT AVENUE, FREMONT, OH 43420-3200
(419) 332-7321
(419) 332-5875
Mailing address
715 SOUTH TAFT AVENUE, FREMONT, OH 43420-3200
(419) 332-7321
(419) 332-5875
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
—
OH
282N00000X
General Acute Care Hospital
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000157568
ANTHEM BLUE CROSS BLUE SH
OH
05
—
5874728
—
OH
Enumeration date
06/02/2006
Last updated
12/22/2023
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