Organization Active NPI

Wyandot Memorial Hospital

  • Durable Medical Equipment & Medical Supplies
  • Upper Sandusky, OH
National Provider Identifier
1013005941
Registry record updated Sep 3, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
HMEL.11059 Issued in OH
Legal business name
WYANDOT MEMORIAL HOSPITAL
Practice address
885 N. Sandusky Avenue
Upper Sandusky, OH 43351-1098
Phone
(419) 294-4991
Fax
(419) 294-6263
NPI assigned
Oct 10, 2006
Last updated
Sep 3, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ty Shaull
Title
Chief Operating Officer
Phone
(419) 294-4991

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X HMEL.11059 OH Primary

Addresses

Primary practice location

885 N. Sandusky Avenue
Upper Sandusky, OH 43351-1098

Mailing address

885 N. Sandusky Avenue
Upper Sandusky, OH 43351-1098
Phone (419) 294-4991

Other identifiers 1

IdentifierTypeStateIssuer
2237154MedicaidOH

National Provider Directory

National Provider Directory

Interoperability endpoints

  • FHIR API: https://carepath.health-partners.org/Proxy-FHIR/WMH/api/FHIR/R4

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1378166400000",
    "number": "1013005941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "885 N. SANDUSKY AVENUE",
            "city": "UPPER SANDUSKY",
            "state": "OH",
            "postal_code": "433511098",
            "telephone_number": "419-294-4991",
            "fax_number": "419-294-6263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "885 N. SANDUSKY AVENUE",
            "city": "UPPER SANDUSKY",
            "state": "OH",
            "postal_code": "433511098",
            "telephone_number": "419-294-4991",
            "fax_number": "419-294-6263"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WYANDOT MEMORIAL HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-10",
        "last_updated": "2013-09-03",
        "status": "A",
        "authorized_official_last_name": "SHAULL",
        "authorized_official_first_name": "TY",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "419-294-4991"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "OH",
            "license": "HMEL.11059",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2237154",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Upper Sandusky, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.