COMMUNITY MEMORIAL HOSPITAL (NPI# 1336632280) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336632280 |
| Entity Type | Organization |
| Organization Name | COMMUNITY MEMORIAL HOSPITAL |
| Other Organization Name | EDGERTON FAMILY HEALTH CENTER |
| Practice Address |
104 S. West Street Edgerton OH 43517 |
| Mailing Address |
208 Columbus St Hicksville OH 43526-1250 |
| Practice Telephone | 4192982478 |
| Mailing Telephone | 4195425566 |
| Enumeration Date | 2018-06-14 |
| Last Update Date | 2019-10-23 |
| Authorized Official Name | JANEY ZACHRICH (CEO) |
| Authorized Official Telephone | 4195425566 |
| Is Organization Subpart | Y |
| Parent Organization Name | COMMUNITY MEMORIAL HOSPITAL |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
35090360 | OH | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Edgerton Family Health Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528208162 | Community Memorial Hospital | Family Medicine | 100 West 4th St, Montrose, MO 64770 | 2009-02-23 |
| 1689842478 | Community Memorial Hospital | Clinic/Center | 122 2nd St. East, Mcclusky, ND 58463-0618 | 2008-02-14 |
| 1598945867 | Community Memorial Hospital | Clinic/Center | 101 Giesler Dr, Osceola, MO 64776-6297 | 2007-11-05 |
| 1730145392 | Community Memorial Hospital | Clinic/Center | 208 Columbus Street, Hicksville, OH 43526 | 2006-04-24 |
| 1336103738 | Community Memorial Hospital | General Acute Care Hospital | 1755 N Mecklenburg Avenue, South Hill, VA 23970-1431 | 2006-04-13 |
| 1780150110 | Community Memorial Hospital | Clinic/Center | 107 Buffalo St, Antwerp, OH 45813-8434 | 2018-10-24 |
| 1164915021 | Community Memorial Hospital | Clinic/Center | 208 Columbus St, Hicksville, OH 43526-1250 | 2018-06-14 |
| 1891288866 | Community Memorial Hospital | Clinic/Center | 422 W River St, Antwerp, OH 45813-8417 | 2018-06-13 |
| 1609303692 | Community Memorial Hospital | Family Medicine | 164 Broad St, Hamilton, NY 13346-9575 | 2017-05-22 |
| 1477080604 | Community Memorial Hospital | Family Medicine | 117 W Main St, Waterville, NY 13480-1165 | 2017-05-18 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | COMMUNITY MEMORIAL HOSPITAL | 809 Jackson St, Burke, SD 57523-2065 |
| Virginia Business Entities | Community Memorial Hospital | 1755 N Mecklenburg Ave, P. O. Box 90, South Hill, Virginia 23970-4080 |
| System for Award Management (SAM) Entities | COMMUNITY MEMORIAL HOSPITAL ASSOCIATION | 400 Caldwell St, Staunton, IL 62088-1173 |
| Virginia Business Entities | Community Memorial Hospital Foundation | 1755 N Mecklenburg Ave, South Hill, Virginia 23970-4080 |
| New York State Corporations | COMMUNITY MEMORIAL HOSPITAL FOUNDATION, INC. | 150 Broad St., Hamilton, Ny 13346 |
| System for Award Management (SAM) Entities | COMMUNITY MEMORIAL HOSPITAL, INC. | 2731 Healthcare Dr, Syracuse, NE 68446-7880 |
| System for Award Management (SAM) Entities | COMMUNITY MEMORIAL HOSPITAL, INCORPORATED | 800 Memorial Dr Ste 1, Spring Valley, MN 55975-1055 |
| Street Address |
104 S. WEST STREET |
| City | EDGERTON |
| State | OH |
| Zip Code | 43517 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508492687 | Lori D Carteyn | Home Health Aide | 01901 C 50, Edgerton, OH 43517 | 2020-03-20 |
| 1245518927 | Jessica L Slattery | Nurse Practitioner | 104 S West Street, Edgerton, OH 43517 | 2011-07-28 |
| 1871706861 | Jeffrey Thomas Snyder | Specialist/Technologist | Edgerton High School, 111 East River Street, Edgerton, OH 43517 | 2007-05-07 |
| 1164542593 | Midwest Community Health Associates | Family Medicine | 324 W. Vine Street, Edgerton, OH 43517 | 2007-03-30 |
| 1508864380 | Michael Kooistra Jr. | Family Medicine | 104 South West St., Edgerton, OH 43517 | 2005-07-14 |
| 1366867681 | Pegge Sines | Clinic/Center | 233 E Morrison St, Edgerton, OH 43517-9302 | 2014-02-24 |
| 1710302971 | Dream Haven LLC | Clinic/Center | 233 E Morrison St, Edgerton, OH 43517-9302 | 2014-02-25 |
| 1194150680 | All Heart Home Care LLC | In Home Supportive Care | 143 N Michigan Ave, Edgerton, OH 43517-9322 | 2013-09-04 |
| 1376710525 | Howard J Aube | Dentist | 127 N Michigan Ave, Edgerton, OH 43517-9322 | 2008-05-15 |
| 1174779912 | Belinda Sue Robertson | Pharmacist | 9294 State Route 249, Edgerton, OH 43517-9556 | 2008-08-12 |
| Find all providers in zip 43517 | ||||
| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255970513 | Orrville Hospital Foundation | Clinic/Center | 1020 Trump Rd Nw Ste 2/4, Carrollton, OH 44615-8422 | 2020-01-03 |
| 1053965053 | Mercy Health - Tiffin Hospital, LLC | Clinic/Center | 202 W Mansfield St, New Washington, OH 44854-9532 | 2019-07-29 |
| 1790215614 | Health Professionals of Holmes County, Inc | Clinic/Center | 1261 Wooster Rd Ste 200, Millersburg, OH 44654-1570 | 2017-06-13 |
| 1306260609 | Morrow County Hospital | Clinic/Center | 692 State Route 61, Marengo, OH 43334 | 2014-02-07 |
| 1104265792 | Trinity Hospital Twin City | Clinic/Center | 110 North Walnut Street, Gnadenhutten, OH 44629 | 2013-06-18 |
| 1346594801 | Morgan County Family Practice | Clinic/Center | 4279 N State Route 376 Nw, Mcconnelsville, OH 43756-9145 | 2012-11-06 |
| 1932455359 | Earnest Mullins House of Hope: Shelter for The Homeless and Battered W | Clinic/Center | 164 S 2nd St, Byesville, OH 43723-1304 | 2012-08-03 |
| 1689806887 | Galion Community Hospital | Clinic/Center | 385 N. Seltzer Street, Crestline, OH 44827 | 2009-08-20 |
| 1780818963 | Mercy Health-allen Hospital LLC | Clinic/Center | 840 Patriot Dr, Wellington, OH 44090 | 2009-05-04 |
| 1306070594 | Mercy Health-allen Hospital LLC | Clinic/Center | 105 Opportunity Way, Lagrange, OH 44050-9018 | 2009-05-04 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.