Community Memorial Hospital
Organization Active NPI Rural Health Clinic/Center · Antwerp, OH
NPI 1780150110 · NPPES record last updated Oct 23, 2019
Key facts
- NPI
- 1780150110
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Rural Health Clinic/Center 261QR1300X
- Legal business name
- COMMUNITY MEMORIAL HOSPITAL
- Practice address
- 107 Buffalo St
Antwerp, OH 45813-8434 - Phone
- (419) 542-5495
- NPI assigned
- Oct 24, 2018
- Organization subpart
- Yes
- Parent organization (as reported)
- COMMUNITY MEMORIAL HOSPITAL
Authorized official
- Name
- Janey Zachrich
- Title
- Ceo
- Phone
- (419) 542-5566
National Provider Directory
- Part of
- Community Memorial Hospital
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rural Health Clinic/Center | 261QR1300X | Yes |
Addresses
Primary practice location
107 Buffalo St
Antwerp, OH 45813-8434
Mailing address
208 Columbus St
Hicksville, OH 43526-1299
Phone (419) 542-5566
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3613011 | Medicaid | OH |
Other names
- Antwerp Family Health Center
- Mark, Milford, Hcksville Joint Township Hospital District
Other providers in Antwerp, OH
- Antwerp Local School
- Antwerp Manor Assisted Living, LLC
- Antwerp Pharmacy Inc
- Jan Carrie Boterf
- Jeffrey Michael Boterf
- Community Memorial Hospital
- Devon Jacob Elston
- Family Practice Associates of Antwerp
- Kayla Nicole Gladieux
- James Harold Gray Jr.
All providers in Antwerp, OH · Rural Health Clinic/Center in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 23, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.