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WYANDOT MEDICAL PROVIDERS AT SYCAMORE
NPI 1275033011
Clinic/Center - Rural Health in Sycamore, OH

Active since February 19, 2018CLIA 36D2138400 · Waiver
412 W SAFFEL AVE, SYCAMORE, OH 44882(419) 927-6552(419) 927-6500 Get Directions Write a Review

NPPES record last updated: August 17, 2022. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Aug 17, 2022, Feb 19, 2018 (2 updates tracked since 2018).

About Wyandot Medical Providers At Sycamore NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WYANDOT MEDICAL PROVIDERS AT SYCAMORE (NPI 1275033011) is a healthcare organization registered as a rural health in Sycamore, Ohio and active in the NPI registry since February 2018. The organization holds a CLIA Waiver certificate valid through October 16, 2027 and lists Ty R Shaull, President & Ceo, as its authorized official.

NPPES Registry Identity

NPI1275033011
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameWYANDOT MEMORIAL HOSPITAL
Location Address412 W SAFFEL AVESycamore, OH 44882-9763
Mailing Address885 N Sandusky AveUpper Sandusky, OH 43351-1098 · (419) 294-4991 · Fax (419) 209-0278
Phone(419) 927-6552
Fax(419) 927-6500
Organization SubpartYes
Authorized OfficialTy R ShaullPresident & Ceo · (419) 294-4991
Enumeration DateFebruary 19, 2018
Last NPPES UpdateAugust 17, 20222 updates tracked since enumeration
NPPES CertifiedJuly 28, 2022
✔ NPI 1275033011 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
Also ListedFamily MedicineTaxonomy 207Q00000X
412 W SAFFEL AVE, Sycamore, OH 44882
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Other Names 1

Doing Business AsWyandot Medical Providers At Sycamore

Other Identifiers 1

Medicaid9687512OH

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 36D2138400

Wyandot Medical Providers At Sycamore · Sycamore, OH
Active · expires Oct 16, 2027
CLIA Number36D2138400
Laboratory TypeRural Health Clinic
Certificate Effective DateOctober 17, 2025
Certificate Expiration DateOctober 16, 2027
Laboratory DirectorMatthew T. Kuhn
Laboratory Phone(419) 927-6552
Laboratory LocationWyandot Medical Providers At Sycamore412 West Saffell Avenue, Sycamore, OH 44882
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Wyandot Memorial Hospital's NPI number?

The NPI number for Wyandot Memorial Hospital is 1275033011. It was assigned to this organization in the NPPES registry on February 19, 2018. The provider is doing business as Wyandot Medical Providers At Sycamore.

Where is Wyandot Memorial Hospital located?

Wyandot Memorial Hospital is located at 412 W Saffel Ave, Sycamore, OH 44882. The listed phone number is (419) 927-6552.

What is Wyandot Memorial Hospital's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.

Does Wyandot Memorial Hospital hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 36D2138400) is associated with this NPI, valid through October 16, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Wyandot Memorial Hospital accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan and Ambetter from Meridian list Wyandot Memorial Hospital as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Wyandot Memorial Hospital was last updated on August 17, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.