Community Memorial Hospital

Primary specialty

Rural Health Clinic/CenterTaxonomy code 261QR1300X

Legal business name

COMMUNITY MEMORIAL HOSPITAL

Doing business as

Antwerp Family Health Center

Practice address

107 Buffalo St
Antwerp, OH 45813-8434

Phone

(419) 542-5495

NPI assigned

Oct 24, 2018

Last updated

Oct 23, 2019By the provider in NPPES

Organization subpart

Yes

Parent organization

COMMUNITY MEMORIAL HOSPITALAs reported in NPPES

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

Authorized official

Name

Janey Zachrich

Title

Ceo

Phone

(419) 542-5566

Specialties & licenses 1

Addresses

Other names 2

• Antwerp Family Health Center Doing business as
• Mark, Milford, Hcksville Joint Township Hospital District Other name

Part of

Community Memorial Hospital

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

{
    "created_epoch": "1540339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1571788800000",
    "number": "1780150110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "208 COLUMBUS ST",
            "city": "HICKSVILLE",
            "state": "OH",
            "postal_code": "435261299",
            "telephone_number": "419-542-5566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 BUFFALO ST",
            "city": "ANTWERP",
            "state": "OH",
            "postal_code": "458138434",
            "telephone_number": "419-542-5495"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY MEMORIAL HOSPITAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COMMUNITY MEMORIAL HOSPITAL",
        "enumeration_date": "2018-10-24",
        "last_updated": "2019-10-23",
        "status": "A",
        "authorized_official_last_name": "ZACHRICH",
        "authorized_official_first_name": "JANEY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "419-542-5566"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Antwerp Family Health Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Antwerp Family Health Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Mark, Milford, Hcksville Joint Township Hospital District",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Antwerp Local School
• Antwerp Manor Assisted Living, LLC
• Antwerp Pharmacy Inc (Antwerp Pharmacy)
• Jan Carrie Boterf
• Jeffrey Michael Boterf
• Community Memorial Hospital (Antwerp Family Health Center)
• Devon Jacob Elston
• Family Practice Associates of Antwerp
• Kayla Nicole Gladieux, LCSW
• James Harold Gray Jr., D.O.

• Rural Health Clinic/Center in Antwerp, OH
• Providers in Antwerp, OH by specialty
• Rural Health Clinic/Center in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 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.