MEMORIAL HOSPITAL (NPI# 1851338149) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851338149 |
| Entity Type | Organization |
| Organization Name | MEMORIAL HOSPITAL |
| Practice Address |
715 South Taft Avenue Fremont OH 43420-3200 |
| Practice Telephone | 4193327321 |
| Practice Fax Number | 4193325875 |
| Mailing Telephone | 4193327321 |
| Mailing Fax Number | 4193325875 |
| Enumeration Date | 2006-06-02 |
| Last Update Date | 2013-09-03 |
| Authorized Official Name | MR. ROBERT W LITTELMANN (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 4193346661 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 282N00000X | General Acute Care Hospital | Hospitals | ||
| Y | 282N00000X | General Acute Care Hospital | OH | Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | ANTHEM BLUE CROSS BLUE SH | 000000157568 | 01 |
| OH | 5874728 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528447992 | Memorial Hospital | General Acute Care Hospital | 1400 E. Boulder St. #3138, Colorado Springs, CO 80045 | 2015-05-19 |
| 1629469002 | Memorial Hospital | Family Medicine | 2319 Old Plank Road, Chester, IL 62233-1116 | 2015-02-06 |
| 1609073709 | Memorial Hospital | Nurse Practitioner | 9099 E Lansing Rd Ste B, Durand, MI 48429-1083 | 2007-07-02 |
| 1003025883 | Memorial Hospital | Psychiatric Residential Treatment Facility | 806 Central Ave Se, Albuquerque, NM 87102-3606 | 2007-05-21 |
| 1376759563 | Memorial Hospital | Family Medicine | 86 Savannah Lane, Bulan, KY 41722 | 2007-05-15 |
| 1598977787 | Memorial Hospital | Family Medicine | 3337 W Britton Rd, Perry, MI 48872 | 2007-05-03 |
| 1639209232 | Memorial Hospital | Internal Medicine | 1480 N M 52, Owosso, MI 48867-1235 | 2007-03-06 |
| 1306973805 | Memorial Hospital | Physician Assistant | 207 Shirlwood Dr, Schenectady, NY 12306-3417 | 2007-02-28 |
| 1316923485 | Memorial Hospital | Hospice Care, Community Based | 1412 6th Ave, York, PA 17403-2648 | 2005-12-20 |
| 1477548774 | Memorial Hospital | General Acute Care Hospital | 1785 4th Ave, York, PA 17403-2615 | 2005-09-13 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | MEMORIAL HOSPITAL | 224 E 2nd St, Dumas, TX 79029-3808 |
| System for Award Management (SAM) Entities | MEMORIAL HOSPITAL & HEALTH CARE CENTER | 800 W 9th St, Jasper, IN 47546-2514 |
| System for Award Management (SAM) Entities | MEMORIAL HOSPITAL AND COMMUNITY HEALTH FOUNDATION INC | 112 East Fifth Avenue, Antigo, WI 54409-2710 |
| System for Award Management (SAM) Entities | MEMORIAL HOSPITAL AND HOMES ASSOCIATION, INC. | 415 8th Ave Sw, Perham, MN 56573-1156 |
| System for Award Management (SAM) Entities | MEMORIAL HOSPITAL AND MANOR | 1500 E Shotwell St, Bainbridge, GA 39819-4256 |
| System for Award Management (SAM) Entities | MEMORIAL HOSPITAL AND MEDICAL CENTER | 400 Rosalind Redfern Grover Parkway, Midland, TX 79701-5846 |
| System for Award Management (SAM) Entities | MEMORIAL HOSPITAL AT GULFPORT | 4500 13th St, Gulfport, MS 39501-2515 |
| System for Award Management (SAM) Entities | MEMORIAL HOSPITAL CENTRAL | 1400 E Boulder St, Colorado Springs, CO 80909-5533 |
| System for Award Management (SAM) Entities | MEMORIAL HOSPITAL EAST | 1404 Cross St, Shiloh, IL 62269-2988 |
| System for Award Management (SAM) Entities | MEMORIAL HOSPITAL FOR CANCER & ALLIED DISEASES | 1275 York Ave, New York, NY 10065-6007 |
| Street Address |
715 SOUTH TAFT AVENUE |
| City | FREMONT |
| State | OH |
| Zip Code | 43420-3200 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891229159 | Randal Koch | Pharmacist | 715 South Taft Avenue, Fremont, OH 43420 | 2017-04-13 |
| 1750695763 | Stephanie Lynn Tiell | Nurse Practitioner | 715 South Taft Avenue, Fremont, OH 43420 | 2010-08-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225596570 | Trisha D Hamm | Nurse Practitioner | Walk In Urgent Care, 2180 Sean Dr., #6b, Fremont, OH 43420 | 2019-03-06 |
| 1558886051 | Kortney Blair Potridge | Homemaker | 1718 Buckland Avenue, Fremont, OH 43420 | 2017-08-07 |
| 1699134015 | Gentle Caring Dentistry of Fremont Ohio | Dentist | 2430 Enterprise St, Fremont, OH 43420 | 2016-02-12 |
| 1033574587 | Alyssa Dickman | Physical Therapy Assistant | 1310 Chestnut St, Fremont, OH 43420 | 2015-12-29 |
| 1437566734 | Michael Allen Koebel | Registered Nurse | 1728 Oak Harbor Rd, Fremont, OH 43420 | 2014-07-18 |
| 1598183774 | Harry D. Burger | Dentist | 567 Bartson Rd., Fremont, OH 43420 | 2014-04-03 |
| 1750706636 | Lori Fisher | Registered Nurse | 500 W. State St., Suite A, Fremont, OH 43420 | 2014-02-28 |
| 1699113001 | Cora Renea Minich | Massage Therapist | 510 Court Street, Fremont, OH 43420 | 2013-06-07 |
| 1477850071 | Parschauer Eye Center Inc | Eyewear Supplier (Equipment, not the service) | 126 S. Front St, Fremont, OH 43420 | 2011-02-16 |
| 1316260839 | Marla D Carlisle | Physician Assistant | 605 Third Avenue, Suite B, Fremont, OH 43420 | 2010-03-11 |
| Find all providers in zip 43420 | ||||
| Taxonomy Code | 282N00000X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174911465 | Healthsource Global | General Acute Care Hospital | 39270 Paseo Padre Pkwy, 138, Fremont, CA 94538-1616 | 2015-01-08 |
| 1215206024 | Rtg Medical | General Acute Care Hospital | 1005 E 23rd St Ste 200, Fremont, NE 68025-0800 | 2011-12-22 |
| 1982755880 | Washington Hospital Cardiology Dept. | General Acute Care Hospital | 2000 Mowry Ave, Fremont, CA 94538-1716 | 2007-01-16 |
| 1154472058 | Washington Township Hospital District | General Acute Care Hospital | 2000 Mowry Ave, Fremont, CA 94538-1716 | 2007-01-16 |
| 1679624407 | Washington Township Hospital District | General Acute Care Hospital | 2000 Mowry Ave, Fremont, CA 94538-1716 | 2007-01-16 |
| 1225189087 | The Center for Mental Health and Well-being At Memorial Hospital | General Acute Care Hospital | 715 S Taft Ave, Fremont, OH 43420-3200 | 2007-01-16 |
| 1801960513 | Kaiser Foundation Hospitals | General Acute Care Hospital | 39400 Paseo Padre Pkwy, Fremont, CA 94538-2310 | 2006-11-17 |
| 1780614685 | Washington Township Hospital District | General Acute Care Hospital | 2000 Mowry Ave, Fremont, CA 94538-1716 | 2006-07-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558896431 | Bridgeport Hospital | General Acute Care Hospital | 6150 Stumph Rd Apt 204, Parma, OH 44130-1872 | 2017-04-27 |
| 1922547496 | Stephen Grater | General Acute Care Hospital | 970 E Washington St Ste 3a, Medina, OH 44256-2181 | 2017-02-17 |
| 1447797329 | Therese Benz | General Acute Care Hospital | 96000 Euclid Ave., Willoughby, OH 44094 | 2017-01-30 |
| 1467997072 | Beverly Jean Cook I | General Acute Care Hospital | 610 Sanford Ave, Akron, OH 44305-2641 | 2017-01-05 |
| 1154865376 | Mercy Health Youngstown, LLC | General Acute Care Hospital | 627 Eastland Ave Se Ste 102, Warren, OH 44484-4501 | 2016-12-07 |
| 1124577705 | The Christ Hospital | General Acute Care Hospital | 502 Walnut Ln, Mason, OH 45040-2018 | 2016-09-24 |
| 1790233195 | Kettering Medical Center | General Acute Care Hospital | 524 Grants Trl, Centerville, OH 45459-3120 | 2016-09-14 |
| 1326497355 | John Wallin | General Acute Care Hospital | 15797 Madison Rd, Middlefield, OH 44062-8408 | 2016-06-09 |
| 1649628595 | Gina John | General Acute Care Hospital | 14205 Liberty Ave, Cleveland, OH 44135-1461 | 2016-06-01 |
| 1033571351 | University of Pittsburgh Medical Center | General Acute Care Hospital | 15559 Pecan Oval, Middleburg Heights, OH 44130-3522 | 2016-03-25 |
| 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.