Organization Active NPI

McCullough Hyde Memorial Hospital Inc

Doing business as McCullough Hyde Camden

  • Physiological Laboratory
  • Camden, OH
National Provider Identifier
1508239161
Registry record updated Nov 4, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physiological LaboratoryTaxonomy code 293D00000X
Legal business name
MCCULLOUGH HYDE MEMORIAL HOSPITAL INC
Doing business as
McCullough Hyde Camden
Practice address
79 W Central Ave Ste 2
Camden, OH 45311-1007
Phone
(937) 452-6051
NPI assigned
Nov 4, 2015
Last updated
Nov 4, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2015

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

Authorized official

Name
Connie Aylward
Title
Compliance Officer
Phone
(513) 569-6302

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physiological Laboratory 293D00000X Primary

Addresses

Primary practice location

79 W Central Ave Ste 2
Camden, OH 45311-1007

Mailing address

79 W Central Ave Ste 2
Camden, OH 45311-1007
Phone (937) 452-6051

Other names 1

  • MCCULLOUGH HYDE CAMDEN Doing business as

National Provider Directory

National Provider Directory
Tax ID family
McCullough-Hyde Memorial Hospital Incorporated7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1446595200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1446595200000",
    "number": "1508239161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "79 W CENTRAL AVE STE 2",
            "city": "CAMDEN",
            "state": "OH",
            "postal_code": "453111007",
            "telephone_number": "937-452-6051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "79 W CENTRAL AVE STE 2",
            "city": "CAMDEN",
            "state": "OH",
            "postal_code": "453111007",
            "telephone_number": "937-452-6051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCCULLOUGH HYDE MEMORIAL HOSPITAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-04",
        "last_updated": "2015-11-04",
        "status": "A",
        "authorized_official_last_name": "AYLWARD",
        "authorized_official_first_name": "CONNIE",
        "authorized_official_title_or_position": "COMPLIANCE OFFICER",
        "authorized_official_telephone_number": "513-569-6302"
    },
    "taxonomies": [
        {
            "code": "293D00000X",
            "taxonomy_group": "",
            "desc": "Physiological Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MCCULLOUGH HYDE CAMDEN",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Camden, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2015; 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.