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Contact Information

MEMORIAL HOSPITAL
715 S TAFT AVE
FREMONT, OH43420-3237
 Phone: 419-334-6618
 Fax: 419-334-6678
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Institutional Pharmacy

3336I0012X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for MEMORIAL HOSPITAL

NPI # 1306960513
LBN Legal business name MEMORIAL HOSPITAL
Authorized official RANDAL KOCH - (PHARMACY DIRECTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 03/16/2007
Last updated 04/19/2016 - About 10 years ago
Identifiers
OH License # HOS.020030100-03
Other 2075169 PK
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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