Organization · Type 2 NPI

Community Memorial Hospital

Rural Health Clinic/Center · Antwerp, OH

NPI number 1780150110 Active

Practice location

107 Buffalo St
Antwerp, OH 45813-8434

Call (419) 542-5495 Map

Mailing address

208 Columbus St
Hicksville, OH 43526-1299

Specialties and licenses

Taxonomy	Code	License
Rural Health Clinic/Center Primary	261QR1300X	None listed

Rural Health Clinic/Center: Definition to come...

Another provider at this address

James Harold Gray Jr., DOFamily Medicine Physician Antwerp, OH NPI 1902903230

Other rural health clinic/center providers in Antwerp

Community Memorial HospitalRural Health Clinic/Center Antwerp, OH NPI 1891288866

See all in Antwerp →

NPI record

NPI: 1780150110
Entity type: Organization (Type 2)
Issued: Oct 24, 2018
Last updated: Oct 23, 2019
Status: Active
Subpart: Yes of Community Memorial Hospital

Other names

<unavail>
Antwerp Family Health Center · doing business as
Antwerp Family Health Center · doing business as
Mark, Milford, Hcksville Joint Township Hospital District · other name

Authorized official

Janey Zachrich
CEO
(419) 542-5566

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1780150110

Community Memorial Hospital's National Provider Identifier is 1780150110, issued on Oct 24, 2018. The primary taxonomy on file is Rural Health Clinic/Center (261QR1300X), and the practice location is in Antwerp, OH. The record was last updated on Oct 23, 2019.