COMMUNITY MEMORIAL HOSPITAL (NPI# 1780150110) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780150110 |
| Entity Type | Organization |
| Organization Name | COMMUNITY MEMORIAL HOSPITAL |
| Other Organization Name | ANTWERP FAMILY HEALTH CENTER |
| Practice Address |
107 Buffalo St Antwerp OH 45813-8434 |
| Mailing Address |
208 Columbus St Hicksville OH 43526-1299 |
| Practice Telephone | 4195425495 |
| Mailing Telephone | 4195425566 |
| Enumeration Date | 2018-10-24 |
| 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 |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 3613011 | 05 |
| Other Name | Type Code |
|---|---|
| Antwerp Family Health Center | Doing Business As Name - Organization |
| Mark, Milford, Hcksville 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 |
| 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 |
| 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 |
107 BUFFALO ST |
| City | ANTWERP |
| State | OH |
| Zip Code | 45813-8434 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902903230 | James Harold Gray Jr. | Family Medicine | 107 Buffalo St, Antwerp, OH 45813-8434 | 2006-09-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518235738 | Jacob North | Specialist/Technologist | 307 Railroad St., Antwerp, OH 45813 | 2011-12-02 |
| 1073811824 | Manor House Transportation L.l.c | Non-emergency Medical Transport (VAN) | 204 Archer Drive, Antwerp, OH 45813 | 2011-03-03 |
| 1861794356 | Manor House | Assisted Living Facility | 204 Archer Dr, Antwerp, OH 45813 | 2010-12-03 |
| 1730312463 | Sarah J Mowery Dds Inc | Dentist | 302 South Cleveland Street, Antwerp, OH 45813 | 2009-08-28 |
| 1104092931 | William S. Bricker Dds, Inc. | Dentist | 302 S Cleveland Street, Antwerp, OH 45813 | 2008-05-01 |
| 1679772263 | Village of Antwerp | Ambulance | 118 N. Main St, Antwerp, OH 45813 | 2007-07-13 |
| 1740400043 | William S Bricker | Dentist | 302 S. Cleveland Street, Antwerp, OH 45813 | 2007-04-27 |
| 1295838134 | Todd Michael Wiley | Family Medicine | 422 W River St, Antwerp, OH 45813 | 2006-09-06 |
| 1265488977 | Janet Zeedyk | Physician Assistant | 107 Buffalo Street, Antwerp, OH 45813 | 2006-05-25 |
| 1952897092 | Ellise Suzanne Koenn | Family Medicine | 107 Buffalo Street, Antwerp, OH 45813 | 2018-07-02 |
| Find all providers in zip 45813 | ||||
| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891288866 | Community Memorial Hospital | Clinic/Center | 422 W River St, Antwerp, OH 45813-8417 | 2018-06-13 |
| 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 |
| 1336632280 | Community Memorial Hospital | Clinic/Center | 104 S. West Street, Edgerton, OH 43517 | 2018-06-14 |
| 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 |
| 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.