NPIMap

Organization Active NPI

Wyandot Memorial Hospital

  • Critical Access Hospital
  • Upper Sandusky, OH
National Provider Identifier
1477554475
Registry record updated Jan 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Access HospitalTaxonomy code 282NC0060X
Legal business name
WYANDOT MEMORIAL HOSPITAL
Practice address
885 N Sandusky Ave
Upper Sandusky, OH 43351-1031
Phone
(419) 294-4991
Fax
(419) 092-0278
NPI assigned
Aug 2, 2005
Last updated
Jan 13, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
WYANDOT MEMORIAL HOSPITALAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 13, 2026

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

Authorized official

Name
Kendra Noyes
Title
President and Ceo
Phone
(419) 294-4991

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X
Critical Access Hospital 282NC0060X Primary
Clinical Medical Laboratory 291U00000X

Addresses

Primary practice location

885 N Sandusky Ave
Upper Sandusky, OH 43351-1031

Mailing address

885 N Sandusky Ave
Upper Sandusky, OH 43351-1031
Phone (419) 294-4991

Other practice location 1

245 Tarhe Trl
Upper Sandusky, OH 43351-8700
Phone (419) 294-1525

Other practice location 2

235 E North St
Carey, OH 43316-1068
Phone (419) 396-9201

Other practice location 3

112 E Lima St
Forest, OH 45843-1116
Phone (419) 273-5108

Other practice location 4

1069 Delaware Ave Ste 101A
Marion, OH 43302-6459
Phone (419) 294-5758

Other practice location 5

412 W Saffel Ave
Sycamore, OH 44882-9763
Phone (419) 927-6552

Other practice location 6

15 N Perry St
New Riegel, OH 44853-9777
Phone (567) 281-1024

Other practice location 7

423 W Church St
Upper Sandusky, OH 43351-1038
Phone (419) 294-4051

Other identifiers 3

IdentifierTypeStateIssuer
000000198227OtherANTHEM BC/BS
=========OtherMEDICAL MUTUAL
9687512MedicaidOH

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040716001163 OH Part B Supplier - Clinic/Group Practice 1557340189 Receives reassigned benefits from 127 practitioners
2 other NPIs on this enrollment
Practice locations: Upper Sandusky, OH; Forest, OH; New Riegel, OH; Marion, OH; Carey, OH; Sycamore, OH
O20061104000529 OH Part A Provider - Critical Access Hospital 1557340189 Receives reassigned benefits from 97 practitioners
Practice locations: Upper Sandusky, OH

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1477554475. Details of each certification follow.

Hospital certification: CCN 361329

Legal name
WYANDOT MEMORIAL HOSPITAL
Doing business as
WYANDOT MEMORIAL HOSPITAL
Certification status
Active
Provider type (POS)
Hospital – Critical access hospital
Participating since
Mar 1, 2005
Last certification
Jul 25, 2024
Beds
25
Ownership / control type
Hospital district or authority
Organization structure
OtherNon-profit
Incorporated
Sep 25, 1950 in OH
Enrollment address
885 N Sandusky Ave
Upper Sandusky, OH 43351-1098

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs with the same Medicare PAC ID 10

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
Wyandot Memorial HospitalCCN 361329 · All quality measures
Overall star rating
5 of 5
Type
Critical Access Hospitals
Ownership
Government - Hospital District or Authority
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory
Part of
Wyandot Memorial Hospti

Locations

112 E Lima St
Forest, OH 45843
Phone (419) 273-5104

1069 Delaware Ave
#101A
Marion, OH 43302
Phone (419) 294-5758

1069 Delaware Ave
Ste 101A
Marion, OH 43302
Phone (419) 294-2557

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
Wyandot Memorial Hospital Organization, Upper Sandusky, OH Operational/Managerial Control Jul 1, 1966
Rob McClure Individual Operational/Managerial ControlBoard Member Aug 1, 2018
Ty Shaull Individual W-2 Managing EmployeeCeo Dec 31, 2017
Jeff Bowen Individual Operational/Managerial ControlBoard Member Jan 1, 2023
Roberta S Sigler Individual Operational/Managerial Control Aug 1, 2017
Kendra Noyes Individual W-2 Managing EmployeeChief Operating Officer Dec 31, 2017
David Courtad Individual Operational/Managerial ControlBoard Member Jan 1, 2025
Mary Anne Schwenning Individual W-2 Managing EmployeeProvider Enrollment Specialist Sep 30, 2005
Krista Kenner Individual W-2 Managing EmployeeCredentialing/Enrollment Specialist Apr 7, 2014
Kyle Bowman Individual Operational/Managerial ControlBoard Member Oct 1, 2004
Beth Smith Individual Operational/Managerial ControlBoard Member Jan 1, 2009

Owners & managing parties with NPI records 10

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

Practitioners & affiliated clinicians

Practitioners 128

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 128

Affiliated clinicians 147

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

View all 147

NPI Registry JSON

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

{
    "created_epoch": "1122940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1768262400000",
    "number": "1477554475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "885 N SANDUSKY AVE",
            "city": "UPPER SANDUSKY",
            "state": "OH",
            "postal_code": "433511031",
            "telephone_number": "419-294-4991",
            "fax_number": "419-294-2233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "885 N SANDUSKY AVE",
            "city": "UPPER SANDUSKY",
            "state": "OH",
            "postal_code": "433511031",
            "telephone_number": "419-294-4991",
            "fax_number": "419-092-0278"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "245 Tarhe Trl",
            "address_purpose": "LOCATION",
            "city": "Upper Sandusky",
            "state": "OH",
            "postal_code": "433518700",
            "country_code": "US",
            "telephone_number": "419-294-1525",
            "fax_number": "419-209-0252",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "235 E North St",
            "address_purpose": "LOCATION",
            "city": "Carey",
            "state": "OH",
            "postal_code": "433161068",
            "country_code": "US",
            "telephone_number": "419-396-9201",
            "fax_number": "419-936-9231",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "112 E Lima St",
            "address_purpose": "LOCATION",
            "city": "Forest",
            "state": "OH",
            "postal_code": "458431116",
            "country_code": "US",
            "telephone_number": "419-273-5108",
            "fax_number": "419-273-5114",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1069 Delaware Ave Ste 101A",
            "address_purpose": "LOCATION",
            "city": "Marion",
            "state": "OH",
            "postal_code": "433026459",
            "country_code": "US",
            "telephone_number": "419-294-5758",
            "fax_number": "419-294-5358",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "412 W Saffel Ave",
            "address_purpose": "LOCATION",
            "city": "Sycamore",
            "state": "OH",
            "postal_code": "448829763",
            "country_code": "US",
            "telephone_number": "419-927-6552",
            "fax_number": "419-927-6500",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "15 N Perry St",
            "address_purpose": "LOCATION",
            "city": "New Riegel",
            "state": "OH",
            "postal_code": "448539777",
            "country_code": "US",
            "telephone_number": "567-281-1024",
            "fax_number": "567-281-1464",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "423 W Church St",
            "address_purpose": "LOCATION",
            "city": "Upper Sandusky",
            "state": "OH",
            "postal_code": "433511038",
            "country_code": "US",
            "telephone_number": "419-294-4051",
            "fax_number": "419-294-0467",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "WYANDOT MEMORIAL HOSPITAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WYANDOT MEMORIAL HOSPITAL",
        "enumeration_date": "2005-08-02",
        "last_updated": "2026-01-13",
        "certification_date": "2026-01-13",
        "status": "A",
        "authorized_official_last_name": "NOYES",
        "authorized_official_first_name": "KENDRA",
        "authorized_official_title_or_position": "PRESIDENT AND CEO",
        "authorized_official_telephone_number": "419-294-4991"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "282NC0060X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Critical Access",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BC/BS",
            "identifier": "000000198227",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL MUTUAL",
            "identifier": "=========",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9687512",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Upper Sandusky, OH

Sources for this page

Verify at the official NPI Registry.