WYANDOT MEDICAL PROVIDERS AT CAREY
NPI 1659014728
Clinic/Center in Carey, OH

NPI Status: Active since April 18, 2022

Contact Information

235 E NORTH ST
CAREY, OH
ZIP 43316
Phone: (419) 396-9201
Fax: (419) 396-9231

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  • Organization
  • Clinic/Center
  • Accepts Insurance
  • CLIA Number: 36D2300465
  • CLIA Cert. Type: Rural Health Clinic
  • CLIA Exp. Date: 03-11-2026

About WYANDOT MEDICAL PROVIDERS AT CAREY

This page provides the complete NPI Profile along with additional information for Wyandot Medical Providers At Carey, a provider established in Carey, Ohio operating as a Clinic/center. The healthcare provider is registered in the NPI registry with number 1659014728 assigned on April 2022. The practitioner's primary taxonomy code is 261Q00000X. The provider is registered as an organization and their NPI record was last updated one year ago. The provider's is doing business as Wyandot Medical Providers At Carey. The authorized official of this NPI record is Ty R Shaull (President & Ceo)

NPI
1659014728
Provider Legal Name
WYANDOT MEMORIAL HOSPITAL
Other Organization Name
WYANDOT MEDICAL PROVIDERS AT CAREY
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
235 E NORTH ST CAREY, OH 43316
Location Phone
(419) 396-9201
Location Fax
(419) 396-9231
Mailing Address
885 N SANDUSKY AVE UPPER SANDUSKY, OH 43351
Mailing Phone
(419) 294-4991
Mailing Fax
(419) 396-9231
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
04-18-2022
Last Update Date
07-01-2024
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center

Taxonomy Code
261Q00000X
Type
Ambulatory Health Care Facilities
Taxonomy Description
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1261QR1300XAmbulatory Health Care Facilities

Clinic/Center
Rural Health

 

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Anthem Bronze Pathway HMO 7450 for HSA - HMO
  • Anthem Bronze Pathway HMO 7500 Standard ($0 Virtual PCP + $0 Select Drugs) - HMO
  • Anthem Bronze Pathway HMO 9200 ($0 Virtual PCP + $0 Select Drugs) - HMO
  • Anthem Bronze Pathway HMO 9200 Adult Dental & Vision ($0 Virtual PCP + $0 Select Drugs) - HMO
  • Anthem Catastrophic Pathway HMO 9200 - HMO
  • Anthem Gold Pathway HMO 1500 Standard ($0 Virtual PCP + $0 Select Drugs) - HMO
  • Anthem Heart Healthy Bronze Pathway HMO 6000 ($0 Virtual PCP + $0 Select Drugs) - HMO
  • Anthem Heart Healthy Silver Pathway X HMO 6000 ($0 Virtual PCP + $0 Select Drugs) - HMO
  • Anthem Silver Pathway HMO 4000 Adult Dental/Vision ($0 Virtual PCP + $0 Select Drugs) - HMO
  • Anthem Silver Pathway HMO 5000 Standard ($0 Virtual PCP + $0 Select Drugs) - HMO
  • Anthem Silver Pathway HMO 5400 for HSA - HMO
  • Anthem Silver Pathway X HMO 4000 ($0 Virtual PCP + $0 Select Drugs) - HMO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

TY R SHAULL

Authorized Official Title
PRESIDENT & CEO
Authorized Official Phone
(419) 294-4991

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
PENDINGMEDICAID (05)OH 

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
36D2300465
Facility Type
Rural Health Clinic
Certificate Effective Date
March 12, 2024
Certificate Expiration Date
March 11, 2026
Laboratory Director
MATTHEW T. KUHN
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Wyandot Medical Providers At Carey to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

Reviews for WYANDOT MEDICAL PROVIDERS AT CAREY

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1659014728
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2610901874
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 1 + 0 + 9 + 0 + 1 + 8 + 7 + 4 + 24 = 62
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 62 = 88

The NPI number 1659014728 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 2 providers are registered at the same or nearby location.

WYANDOT MEMORIAL HOSPITAL

Pharmacy

(Community/Retail Pharmacy)

235 E NORTH ST
CAREY, OH
ZIP 43316

(419) 396-9203

DR. KERI SUE HARRIS MD

Family Medicine

(Adolescent Medicine)

235 E NORTH ST
CAREY, OH
ZIP 43316

(419) 396-9205

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1659014728, enumerated as an "organization" on April 18, 2022.

The provider is located at 235 E NORTH ST CAREY, OH 43316 and the phone number is (419) 396-9201.

Clinic/Center with taxonomy code 261Q00000X.

The provider might be accepting Accepts: Anthem Blue Cross and Blue Shield, Medicare and. Please consult your insurance carrier or call the provider to verify.