Organization · Type 2 NPI

Wyandot Memorial Hospital

Rural Health Clinic/Center · Forest, OH

NPI number 1861908071 Active · reactivated Sep 23, 2022

Practice location

112 E Lima St
Forest, OH 45843-1116

Call (419) 273-5104 Map

Fax (419) 273-5106

Mailing address

885 N Sandusky Ave
Upper Sandusky, OH 43351-1098

Specialties and licenses

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

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

2 other providers at this address

NPI record

NPI: 1861908071
Entity type: Organization (Type 2)
Issued: Dec 26, 2017
Last updated: Sep 23, 2022
Status: Active
Subpart: Yes of Wyandot Memorial Hospital

Other names

<unavail>
Wyandot Medical Providers at Forest · doing business as

Authorized official

Ty R Shaull
President & CEO
(419) 294-4991

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 1861908071

Wyandot Memorial Hospital's National Provider Identifier is 1861908071, issued on Dec 26, 2017. The primary taxonomy on file is Rural Health Clinic/Center (261QR1300X), and the practice location is in Forest, OH. The record was last updated on Sep 23, 2022.