MCCULLOUGH-HYDE MEMORIAL HOSPITAL, INC. (NPI# 1245216183) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1245216183 |
Entity Type | Organization |
Organization Name | MCCULLOUGH-HYDE MEMORIAL HOSPITAL, INC. |
Practice Address |
110 N Poplar St Oxford OH 45056-1204 |
Practice Telephone | 5135232111 |
Practice Fax Number | 5135245665 |
Mailing Telephone | 5135232111 |
Mailing Fax Number | 5135245665 |
Enumeration Date | 2005-12-22 |
Last Update Date | 2020-05-20 |
Authorized Official Name | MR. BRYAN D. HEHEMANN (PRESIDENT & CEO) |
Authorized Official Telephone | 5135245501 |
Authorized Official Credential | FACHE |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 261QU0200X |
Clinic/Center Specialization: Urgent Care |
Ambulatory Health Care Facilities | ||
Y | 282N00000X | General Acute Care Hospital | Hospitals |
State | Issuer | Identifier | Type Code |
---|---|---|---|
ANTHEM-FACILITY | 000000002696 | 01 | |
KY | 01541978 | 05 | |
IN | 200180950 | 05 | |
IN | 100275870 | 05 | |
CHOICE CARE OUTPATIENT | 36 | 01 | |
ANTHEM-REFERENCE LABORATO | 000000321430 | 01 | |
ANTHEM-PATHOLOGY | 000000003325 | 01 | |
CHOICECARE INPATIENT | 35 | 01 | |
AETNA | 0068681 | 01 | |
OH | 5710707 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1831525500 | Mccullough-hyde Memorial Hospital, Inc. | Orthopaedic Surgery | 5151 Morning Sun Rd Ste A, Pinnacle Orthopaedics & Sports Medicine, Oxford, OH 45056-9546 | 2013-09-25 |
1386056331 | Mccullough-hyde Memorial Hospital, Inc. | Internal Medicine | 110 N Poplar St, Mccullough-hyde Rheumatology, Oxford, OH 45056-1204 | 2014-05-27 |
1013335314 | Mccullough-hyde Memorial Hospital, Inc. | Internal Medicine | 110 N Poplar St, Patient Accounts - Oncology, Oxford, OH 45056-1204 | 2014-04-03 |
Street Address |
110 N POPLAR ST |
City | OXFORD |
State | OH |
Zip Code | 45056-1204 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1427057074 | Oxford Radiology Inc | Specialist | 110 N Poplar St, Oxford, OH 45056-1204 | 2005-07-16 |
1578923124 | Dorionne Whitaker | Nurse Practitioner | 110 N Poplar St, Oxford, OH 45056-1204 | 2016-02-24 |
1669860565 | Trihealth G., LLC | Allergy & Immunology | 110 N Poplar St, Oxford, OH 45056-1204 | 2014-12-30 |
1386056331 | Mccullough-hyde Memorial Hospital, Inc. | Internal Medicine | 110 N Poplar St, Mccullough-hyde Rheumatology, Oxford, OH 45056-1204 | 2014-05-27 |
1013335314 | Mccullough-hyde Memorial Hospital, Inc. | Internal Medicine | 110 N Poplar St, Patient Accounts - Oncology, Oxford, OH 45056-1204 | 2014-04-03 |
1427329895 | Bryan R Barger | Nurse Anesthetist, Certified Registered | 110 N Poplar St, Oxford, OH 45056 | 2012-01-18 |
1588996524 | Nicole Marie White Malin | Emergency Medicine | 110 N Poplar St, Oxford, OH 45056-1204 | 2010-02-01 |
1568795839 | Michelle Beth Miller | Nurse Anesthetist, Certified Registered | 110 N Poplar St, Anesthesia Dept, Oxford, OH 45056-1204 | 2009-09-17 |
1275785008 | Emily A. Gerberick-douglass | Specialist | 110 N Poplar St, 5151 Morning Sun Road, Suite B, Oxford, OH 45056-1204 | 2008-10-10 |
1366614158 | Reid Hospital & Health Care Services Inc | Internal Medicine | 110 N Poplar St, Oxford, OH 45056-1204 | 2008-04-01 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1952949695 | Joseph Barbetta | Specialist/Technologist | Weeb Ewbank Way, Oxford, OH 45056 | 2019-12-12 |
1568914596 | Devyn Jo Wilson | Student in an Organized Health Care Education/Training Program | 144 Yager Stadium, Oxford, OH 45056 | 2016-10-25 |
1538548185 | Linda Dingledine | Registered Nurse | 5301 University Park Blvd, Oxford, OH 45056 | 2015-05-28 |
1003200783 | Mary Elizabeth Ankrom | Specialist/Technologist | 501 E. High St., Oxford, OH 45056 | 2015-03-20 |
1902243454 | Alex Dolgov | Dentist | 474 S. Locust Street, Oxford, OH 45056 | 2013-05-23 |
1447577929 | Holly Anne Larson | Dietitian, Registered | 5176 Morning Sun Rd, Suite 1, Oxford, OH 45056 | 2010-04-23 |
1972718542 | Kip Charles Alishio | Psychologist | 195 Health Services Building, Miami University, Oxford, OH 45056 | 2007-05-14 |
1861550154 | Deborah Schindler | Dentist | 117 E Walnut Street, Oxford, OH 45056 | 2006-12-05 |
1821197880 | Terri Lynn Jones | Psychologist | 44 Autumn Dr, Oxford, OH 45056 | 2006-09-22 |
1386747095 | Ohio Cvs Stores LLC | Durable Medical Equipment & Medical Supplies | 123 W Spring St, Oxford, OH 45056 | 2006-09-07 |
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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. |
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1487048278 | Mccullough-hyde Hospital | General Acute Care Hospital | 5151 Morning Sun Rd, Suite E, Oxford, OH 45056-9545 | 2015-03-19 |
1649615964 | Baptist Memorial Health Care Corp. | General Acute Care Hospital | 2301 S Lamar Blvd, Oxford, MS 38655-5373 | 2013-04-30 |
1902184765 | Baptist Memorial Hospital-north Mississippi | General Acute Care Hospital | 2301 S Lamar Blvd, Oxford, MS 38655-5373 | 2011-07-28 |
1952453649 | Baptist Memorial Hospital North Mississippi, Inc | General Acute Care Hospital | 2301 S Lamar Blvd, Oxford, MS 38655-5373 | 2007-01-16 |
1326061730 | Granville Health System | General Acute Care Hospital | 1010 College St, Oxford, NC 27565-2507 | 2006-07-26 |
1053375576 | Baptist Memorial Hospital North Mississippi, Inc | General Acute Care Hospital | 1100 Belk Blvd, Oxford, MS 38655-5242 | 2006-04-13 |
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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 |
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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.