Organization Active NPI

Shelby County Memorial Hospital Association

  • Psychiatric Hospital Unit
  • Sidney, OH
National Provider Identifier
1124018585
Registry record updated Nov 28, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric Hospital UnitTaxonomy code 273R00000X
Legal business name
SHELBY COUNTY MEMORIAL HOSPITAL ASSOCIATION
Practice address
915 Michigan St
Sidney, OH 45365-2401
Phone
(937) 498-2311
Fax
(937) 498-5527
NPI assigned
Oct 26, 2005
Organization subpart
Yes
Parent organization
WILSON MEMORIAL HOSPITALAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 28, 2012

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

Authorized official

Name
Julie A Covault
Title
VP Financial Service
Phone
(937) 498-5402

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Hospital Unit 273R00000X Primary
General Acute Care Hospital 282N00000X

Addresses

Primary practice location

915 Michigan St
Sidney, OH 45365-2401

Mailing address

915 Michigan St
Sidney, OH 45365-2401
Phone (937) 498-2311

Other names 1

  • Wilson Memorial Behavioral Health Unit Other name

National Provider Directory

National Provider Directory
Part of
Wilson Health Home Care

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1130284800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1354060800000",
    "number": "1124018585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "915 MICHIGAN ST",
            "city": "SIDNEY",
            "state": "OH",
            "postal_code": "453652401",
            "telephone_number": "937-498-2311",
            "fax_number": "937-498-5527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "915 MICHIGAN ST",
            "city": "SIDNEY",
            "state": "OH",
            "postal_code": "453652401",
            "telephone_number": "937-498-2311",
            "fax_number": "937-498-5527"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHELBY COUNTY MEMORIAL HOSPITAL ASSOCIATION",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WILSON MEMORIAL HOSPITAL",
        "enumeration_date": "2005-10-26",
        "last_updated": "2012-11-28",
        "status": "A",
        "authorized_official_last_name": "COVAULT",
        "authorized_official_first_name": "JULIE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "VP FINANCIAL SERVICE",
        "authorized_official_telephone_number": "937-498-5402"
    },
    "taxonomies": [
        {
            "code": "273R00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Unit",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wilson Memorial Behavioral Health Unit",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Sidney, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2012; 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.