COMMUNITY MEMORIAL HOSPITAL (NPI# 1730145392) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730145392 |
| Entity Type | Organization |
| Organization Name | COMMUNITY MEMORIAL HOSPITAL |
| Other Organization Name | MARK, MILFORD, HICKSVILLE JOINT TOWNSHIP HOSPITAL DISTRICT |
| Practice Address |
208 Columbus Street Hicksville OH 43526 |
| Practice Telephone | 4195426692 |
| Practice Fax Number | 4195426506 |
| Mailing Telephone | 4195426692 |
| Mailing Fax Number | 4195426506 |
| Enumeration Date | 2006-04-24 |
| Last Update Date | 2019-08-07 |
| Authorized Official Name | MS. JANE ZACHRICH (CEO) |
| Authorized Official Telephone | 4195425566 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QR1300X |
Clinic/Center Specialization: Rural Health |
Ambulatory Health Care Facilities | ||
| Y | 282NC0060X |
General Acute Care Hospital Specialization: Critical Access |
Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 1677841 | 05 |
| Other Name | Type Code |
|---|---|
| Mark, MIlford, Hicksville Joint Township Hospital District | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336632280 | Community Memorial Hospital | Clinic/Center | 104 S. West Street, Edgerton, OH 43517 | 2018-06-14 |
| 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 |
| 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 |
208 COLUMBUS STREET |
| City | HICKSVILLE |
| State | OH |
| Zip Code | 43526 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356580294 | Vasavi K Reddy | Family Medicine | 208 Columbus Street, Hicksville, OH 43526 | 2009-02-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447534177 | Desare R Wilhelm | Massage Therapist | 104 E. High St., Hicksville, OH 43526 | 2011-09-29 |
| 1326133380 | Michael Stewart Boggs | Dentist | 106 North Bryan Street, Hicksville, OH 43526 | 2006-10-04 |
| 1831201417 | Julie K Barth | Audiologist | 119 N. Main St, Hicksville, OH 43526 | 2006-08-31 |
| 1376845370 | Cory T Hammond | Physician Assistant | 208 Columbus St, Hicksville, OH 43526 | 2010-11-23 |
| 1417978776 | Matthew C Grothaus | Orthopaedic Surgery | 208 Columbus St, Hicksville, OH 43526 | 2006-07-22 |
| 1730165242 | Fort Wayne Cardiology Corporation | Internal Medicine | 208 Columbus St, Hicksville, OH 43526 | 2005-12-16 |
| 1326685728 | Chelsea Kelly Dds LLC | Dentist | 106 N Bryan St, Hicksville, OH 43526-1004 | 2019-12-04 |
| 1003431073 | Macy Marie Bradbury | Physician Assistant | 217 N Bryan St, Hicksville, OH 43526-1005 | 2020-06-15 |
| 1386650141 | Ryan David Bagley | Chiropractor | 102 Old Mill Rd, Hicksville, OH 43526-1083 | 2006-08-01 |
| 1114188679 | Bagley Family Chiropractic, LLC | Chiropractor | 501 W High St, Hicksville, OH 43526-1083 | 2008-06-18 |
| Find all providers in zip 43526 | ||||
| Taxonomy Code | 282NC0060X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| Specialization | Critical Access |
| Definition to come. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043438138 | Community Memorial Hospital | General Acute Care Hospital | 208 Columbus St, Hicksville, OH 43526-1250 | 2007-04-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740580828 | Department of Veterans Affairs | General Acute Care Hospital | 23809 E Silsby Rd, Beachwood, OH 44122-1271 | 2010-10-23 |
| 1851605224 | Huron Hospital | General Acute Care Hospital | 34940 Spatterdock Lane, Solon, OH 44139 | 2010-07-28 |
| 1164757803 | Good Samaritan Hospital | General Acute Care Hospital | 235 Hillcrest Dr, Cincinnati, OH 45215-2609 | 2009-10-14 |
| 1659515435 | St. Vencint Charity Hospital | General Acute Care Hospital | 3420 Wooster Rd, Apartment # 620, Rocky River, OH 44116-4174 | 2009-04-24 |
| 1043431414 | The Ohio State University Medical Center | General Acute Care Hospital | 2234 Sandman Dr, Columbus, OH 43235-7148 | 2007-05-01 |
| 1699896407 | Chiarra Michelle Thompson | General Acute Care Hospital | 3242 Danbury Rd, Fairfield, OH 45014-5305 | 2007-04-02 |
| 1437244886 | Chris Anandajeya | General Acute Care Hospital | 17273 St Rt 104, Chillicothe, OH 45601 | 2006-10-03 |
| 1922079532 | H.b. Magruder Memorial Hospital | General Acute Care Hospital | 615 Fulton St, Port Clinton, OH 43452-2001 | 2006-01-31 |
| 1790775161 | Morrow County Hospital | General Acute Care Hospital | 651 W Marion Rd, Mount Gilead, OH 43338-1027 | 2005-10-26 |
| 1235135450 | Barnesville Hospital Association, Inc. | General Acute Care Hospital | 639 W. Main St., Barnesville, OH 43713-0309 | 2005-06-22 |
| Find all providers with the same taxonomy | ||||
| City | HICKSVILLE |
| Zip Code | 43526 |
Please comment or provide details below to improve the information on COMMUNITY MEMORIAL HOSPITAL.
| 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.