Active NPI
Community Memorial Hospital
- Critical Access Hospital
- Hicksville, OH
National Provider Identifier
1043438138
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Critical Access Hospital
- Legal business name
- COMMUNITY MEMORIAL HOSPITAL
- Doing business as
- Community Memorial Hospital-SW
- Practice address
- 208 Columbus St
Hicksville, OH 43526-1250 - Phone
- (419) 542-5564
- Fax
- (419) 542-6506
- NPI assigned
- Apr 23, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Sharon McGowan, MBA
- Title
- Vice President Finance Cfo
- Phone
- (419) 542-5564
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Critical Access Hospital | 282NC0060X | OH | Primary |
Addresses
Primary practice location
208 Columbus St
Hicksville, OH 43526-1250
Mailing address
208 Columbus St
Hicksville, OH 43526-1250
Phone (419) 542-5564
Other names 1
- Community Memorial Hospital-SW
National Provider Directory
National Provider DirectoryInteroperability endpoints
- https://fhir-myrecord.cerner.com/r4/dc5473f2-b01f-4963-a3d8-5474b2d33b20/
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177286400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1214784000000",
"number": "1043438138",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "208 COLUMBUS ST",
"city": "HICKSVILLE",
"state": "OH",
"postal_code": "435261250",
"telephone_number": "419-542-5564",
"fax_number": "419-542-6506"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "208 COLUMBUS ST",
"city": "HICKSVILLE",
"state": "OH",
"postal_code": "435261250",
"telephone_number": "419-542-5564",
"fax_number": "419-542-6506"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COMMUNITY MEMORIAL HOSPITAL",
"organizational_subpart": "NO",
"enumeration_date": "2007-04-23",
"last_updated": "2008-06-30",
"status": "A",
"authorized_official_last_name": "MCGOWAN",
"authorized_official_first_name": "SHARON",
"authorized_official_title_or_position": "VICE PRESIDENT FINANCE CFO",
"authorized_official_telephone_number": "419-542-5564",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "MBA"
},
"taxonomies": [
{
"code": "282NC0060X",
"taxonomy_group": "",
"desc": "General Acute Care Hospital, Critical Access",
"state": "OH",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Community Memorial Hospital-SW",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Hicksville, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.