WYANDOT MEDICAL PROVIDERS AT FOREST
NPI 1861908071
Clinic/Center - Rural Health in Forest, OH

Active since December 26, 2017CLIA 36D2258522 · Waiver
112 E LIMA ST, FOREST, OH 45843(419) 273-5104(419) 273-5106 Get Directions Write a Review

NPPES record last updated: September 23, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 23, 2022, Aug 4, 2022, Jun 16, 2018 and 1 more (4 updates tracked since 2017).

About Wyandot Medical Providers At Forest NPPES

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

WYANDOT MEDICAL PROVIDERS AT FOREST (NPI 1861908071) is a healthcare organization registered as a rural health in Forest, Ohio and active in the NPI registry since December 2017. The organization holds a CLIA Waiver certificate valid through April 21, 2028 and lists Ty R Shaull, President & Ceo, as its authorized official.

NPPES Registry Identity

NPI1861908071
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameWYANDOT MEMORIAL HOSPITAL
Location Address112 E LIMA STForest, OH 45843-1116
Mailing Address885 N Sandusky AveUpper Sandusky, OH 43351-1098 · (419) 294-4991 · Fax (419) 209-0278
Fax(419) 273-5106
Organization SubpartYes
Authorized OfficialTy R ShaullPresident & Ceo · (419) 294-4991
Enumeration DateDecember 26, 2017
Last NPPES UpdateSeptember 23, 20224 updates tracked since enumeration
NPPES CertifiedSeptember 23, 2022
NPI 1861908071 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
112 E LIMA ST, Forest, OH 45843

Other Names 1

Doing Business AsWyandot Medical Providers At Forest

Other Identifiers 1

Medicaid0394927OH

Accepted 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 36D2258522

Wyandot Medical Providers At Forest · Forest, OH
Active · expires Apr 21, 2028
CLIA Number36D2258522
Laboratory TypeRural Health Clinic
Certificate Effective DateApril 22, 2026
Certificate Expiration DateApril 21, 2028
Laboratory DirectorMatthew T. Kuhn
Laboratory Phone(419) 273-5104
Laboratory LocationWyandot Medical Providers At Forest112 East Lima Street, Forest, OH 45843
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pharmacy (Community/Retail Pharmacy)
112 E LIMA ST
FOREST, OH 45843
Nurse Practitioner (Family)
112 E LIMA ST
FOREST, OH 45843

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 1861908071. It was assigned to this organization in the NPPES registry on December 26, 2017. The provider is doing business as Wyandot Medical Providers At Forest.

Where is Wyandot Memorial Hospital located?

Wyandot Memorial Hospital is located at 112 E Lima St, Forest, OH 45843. The listed phone number is (419) 273-5104.

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 36D2258522) is associated with this NPI, valid through April 21, 2028. 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 September 23, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.