NPIMap

Organization Active NPI

Wyandot Memorial Hospital

Doing business as Wyandot Medical Providers at Carey

  • Rural Health Clinic/Center
  • Carey, OH
National Provider Identifier
1659014728
Registry record updated Nov 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
WYANDOT MEMORIAL HOSPITAL
Doing business as
Wyandot Medical Providers at Carey
Practice address
235 E North St
Carey, OH 43316-1068
Phone
(419) 396-9201
Fax
(419) 396-9231
NPI assigned
Apr 18, 2022
Last updated
Nov 4, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
WYANDOT MEMORIAL HOSPITALAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 4, 2025

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

Authorized official

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X
Rural Health Clinic/Center 261QR1300X Primary

Addresses

Primary practice location

235 E North St
Carey, OH 43316-1068

Mailing address

235 E North St
Carey, OH 43316-1068
Phone (419) 294-4991

Other names 1

  • Wyandot Medical Providers at Carey Doing business as

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
This NPI is an additional NPI on the enrollment
Practice locations: Upper Sandusky, OH; Forest, OH; New Riegel, OH; Marion, OH; Carey, OH; Sycamore, OH
O20250108003791 OH Part A Provider - Rural Health Clinic 1557340189 Practice locations: Carey, OH

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1659014728. Details of each certification follow.

Rural health clinic certification: CCN 363453

Legal name
WYANDOT MEMORIAL HOSPITAL
Doing business as
WYANDOT MEDICAL PROVIDERS AT CAREY
Organization structure
OtherNon-profit
Enrollment address
235 E North St
Carey, OH 43316-1068

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.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
36D2300465Wyandot Medical Providers at Carey235 E North St, Carey, OH 43316Certificate of waiverMar 11, 2028

National Provider Directory

National Provider Directory
Tax ID family
Wyandot Memorial Hospti10 organizations share this tax ID, including this one
Part of
Wyandot Memorial Hospti

Other organizations with this tax ID 9

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

Locations

885 N Sandusky Ave
Bldg 2
Upper Sandusky, OH 43351
Phone 41929449912205

Ownership & related parties

All disclosed owners & managing parties 10

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

NameRoleSinceShare
Rob McClure Individual Corporate Director Aug 1, 2018
Ty Shaull Individual Corporate OfficerPresident and Ceo Jan 1, 2018
W-2 Managing EmployeeAd; Jan 1, 2018
Jeff Bowen Individual Corporate Director Jan 1, 2023
Roberta S Sigler Individual Corporate Director Aug 1, 2017
David Courtad Individual Corporate Director 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 Jan 7, 2022
Kyle Bowman Individual Corporate Director Oct 1, 2004
Beth Smith Individual Corporate Director Jan 1, 2009
Matthew Mercer Individual Corporate Officer Oct 1, 2020
W-2 Managing EmployeeChief Financial Officer Oct 1, 2020

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Wyandot Memorial HospitalUpper Sandusky, OH, CCN 361329 Hospital Operational/Managerial Control Jul 1, 1966

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Practitioners & affiliated clinicians

Practitioners 123

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 123

NPI Registry JSON

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

{
    "created_epoch": "1650240000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762214400000",
    "number": "1659014728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "235 E NORTH ST",
            "city": "CAREY",
            "state": "OH",
            "postal_code": "433161068",
            "telephone_number": "419-294-4991",
            "fax_number": "419-209-0278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "235 E NORTH ST",
            "city": "CAREY",
            "state": "OH",
            "postal_code": "433161068",
            "telephone_number": "419-396-9201",
            "fax_number": "419-396-9231"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WYANDOT MEMORIAL HOSPITAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WYANDOT MEMORIAL HOSPITAL",
        "enumeration_date": "2022-04-18",
        "last_updated": "2025-11-04",
        "certification_date": "2025-11-04",
        "status": "A",
        "authorized_official_last_name": "NOYES",
        "authorized_official_first_name": "KENDRA",
        "authorized_official_title_or_position": "PRESIDENT & CEO",
        "authorized_official_telephone_number": "419-294-4991"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wyandot Medical Providers at Carey",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Wyandot Medical Providers at Carey",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Carey, OH

Sources for this page

Verify at the official NPI Registry.