NPIMap

Organization Active NPI

Community Memorial Hospital

  • Critical Access Hospital
  • Hicksville, OH
National Provider Identifier
1730145392
Registry record updated Aug 7, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Access HospitalTaxonomy code 282NC0060X
Legal business name
COMMUNITY MEMORIAL HOSPITAL
Practice address
208 Columbus Street
Hicksville, OH 43526
Phone
(419) 542-6692
Fax
(419) 542-6506
NPI assigned
Apr 24, 2006
Last updated
Aug 7, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2019

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

Authorized official

Name
Ms. Jane Zachrich
Title
Ceo
Phone
(419) 542-5566

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X
Critical Access Hospital 282NC0060X Primary

Addresses

Primary practice location

208 Columbus Street
Hicksville, OH 43526

Mailing address

208 Columbus Street
Hicksville, OH 43526
Phone (419) 542-6692

Other identifiers 1

IdentifierTypeStateIssuer
1677841MedicaidOH

Other names 1

  • Mark, MIlford, Hicksville Joint Township Hospital District Other name

National Provider Directory

National Provider Directory

Locations

422 W River St
Antwerp, OH 45813
Phone (419) 258-5195

104 N West St
Edgerton, OH 43517
Phone (419) 298-2458

Practitioners & affiliated clinicians

Practitioners 33

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 33

NPI Registry JSON

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

{
    "created_epoch": "1145836800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1565136000000",
    "number": "1730145392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "208 COLUMBUS STREET",
            "city": "HICKSVILLE",
            "state": "OH",
            "postal_code": "43526",
            "telephone_number": "419-542-6692",
            "fax_number": "419-542-6506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "208 COLUMBUS STREET",
            "city": "HICKSVILLE",
            "state": "OH",
            "postal_code": "43526",
            "telephone_number": "419-542-6692",
            "fax_number": "419-542-6506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY MEMORIAL HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-24",
        "last_updated": "2019-08-07",
        "status": "A",
        "authorized_official_last_name": "ZACHRICH",
        "authorized_official_first_name": "JANE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "419-542-5566",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "282NC0060X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Critical Access",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1677841",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mark, MIlford, Hicksville Joint Township Hospital District",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Hicksville, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2019; 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.