Organization
WYANDOT MEMORIAL HOSPITAL
Active
Parent organization
WYANDOT MEMORIAL HOSPITAL
Other names
Wyandot Medical Providers at Forest
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
112 E LIMA ST, FOREST, OH 45843-1116
(419) 273-5104
(419) 273-5106
Mailing address
885 N SANDUSKY AVE, UPPER SANDUSKY, OH 43351-1098
(419) 294-4991
(419) 209-0278
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0394927
—
OH
Enumeration date
12/26/2017
Last updated
09/23/2022
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