NPIMap

Organization Active NPI

McCullough-Hyde Memorial Hospital, Inc.

  • General Acute Care Hospital
  • Oxford, OH
National Provider Identifier
1245216183
Registry record updated Jan 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
Legal business name
MCCULLOUGH-HYDE MEMORIAL HOSPITAL, INC.
Practice address
110 N Poplar St
Oxford, OH 45056-1204
Phone
(513) 523-2111
Fax
(513) 524-5665
NPI assigned
Dec 22, 2005
Last updated
Jan 5, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2026

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

Authorized official

Name
Michael W Crofton
Title
Vice President
Phone
(513) 569-6577

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X NU Primary

Addresses

Primary practice location

110 N Poplar St
Oxford, OH 45056-1204

Mailing address

4685 Forest Ave
Cincinnati, OH 45212-3397

Other identifiers 10

IdentifierTypeStateIssuer
000000321430OtherANTHEM-REFERENCE LABORATO
36OtherCHOICE CARE OUTPATIENT
100275870MedicaidIN
0068681OtherAETNA
000000003325OtherANTHEM-PATHOLOGY
5710707MedicaidOH
000000002696OtherANTHEM-FACILITY
01541978MedicaidKY
200180950MedicaidIN
35OtherCHOICECARE INPATIENT

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20031216000862 OH Part B Supplier - Clinic/Group Practice 8527965664 Receives reassigned benefits from 24 practitioners
2 other NPIs on this enrollment
Practice locations: Hamilton, OH; Oxford, OH
O20070628000317 OH Part A Provider - Hospital 8527965664 Practice locations: Oxford, OH; Hamilton, OH

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1245216183. Details of each certification follow.

Hospital certification: CCN 360046

Legal name
MCCULLOUGH-HYDE MEMORIAL HOSPITAL INCORPORATED
Doing business as
MCCULLOUGH-HYDE
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Jul 1, 1966
Last certification
Nov 5, 2020
Beds
94
Ownership / control type
Private (not for profit)
Organization structure
CorporationNon-profit
Incorporated
Nov 8, 1961 in OH
Enrollment address
110 N Poplar St
Oxford, OH 45056-1204
Other Hospital Practice Location
Hospital subgroups
Acute care

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Care Compare: Hospital

Medicare Care Compare
Listed as
McCullough-Hyde Memorial HospitalCCN 360046 · All quality measures
Overall star rating
3 of 5
Type
Acute Care Hospitals
Ownership
Voluntary non-profit - Private
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 11

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Trihealth Inc Organization, Cincinnati, OH Non-profit 5% Or Greater Direct Ownership Interest Jul 1, 2019 100%
Operational/Managerial Control Jul 1, 2019 100%
Mark C Clement Individual Corporate DirectorBoard MBR Jan 1, 2016
Alan D Oak Individual Corporate OfficerTreasurer Jan 23, 2015
Corporate DirectorBoard Member Jan 1, 2015
Michael Crofton Individual Corporate OfficerVice President Finance Jan 23, 2015
Corporate DirectorBoard Member Jan 1, 2015
W-2 Managing EmployeeVice President Finance Jan 1, 2015
Steve Snyder Individual Corporate DirectorBoard Member Jul 1, 2019
Steve Gracey Individual Corporate DirectorBoard Member Jul 1, 2019
Myrtis Powell Individual Corporate DirectorBoard Member Jan 1, 2015
John Ward Individual Corporate DirectorBoard Member Oct 9, 2019
Angela Lee Individual W-2 Managing EmployeeCredentialing Supervisor Jul 1, 2019
Hillary Evans Individual Corporate DirectorBoard Member Jan 1, 2015
Lisa M Konerman Individual W-2 Managing EmployeeCredentialing Coordinator Jul 1, 2019

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Facilities with the same owner 5

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners & affiliated clinicians

Practitioners 34

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 34

Affiliated clinicians 352

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 352

NPI Registry JSON

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

{
    "created_epoch": "1135209600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1767571200000",
    "number": "1245216183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4685 FOREST AVE",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452123397",
            "fax_number": "513-852-8525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 N POPLAR ST",
            "city": "OXFORD",
            "state": "OH",
            "postal_code": "450561204",
            "telephone_number": "513-523-2111",
            "fax_number": "513-524-5665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCCULLOUGH-HYDE MEMORIAL HOSPITAL, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-22",
        "last_updated": "2026-01-05",
        "certification_date": "2026-01-05",
        "status": "A",
        "authorized_official_last_name": "CROFTON",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "513-569-6577"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM-REFERENCE LABORATO",
            "identifier": "000000321430",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHOICE CARE OUTPATIENT",
            "identifier": "36",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100275870",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "0068681",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM-PATHOLOGY",
            "identifier": "000000003325",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5710707",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM-FACILITY",
            "identifier": "000000002696",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01541978",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200180950",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHOICECARE INPATIENT",
            "identifier": "35",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oxford, OH

Sources for this page

Verify at the official NPI Registry.