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MARIETTA MEMORIAL HOSPITAL
NPI 1962339689
Clinic/Center - Multi-Specialty in Logan, OH

Active since May 06, 2026CLIA 36D2329491 · Waiver
751 STATE ROUTE 664 N UNIT A, LOGAN, OH 43138(740) 385-9646(740) 385-0630 Get Directions Write a Review

NPPES record last updated: May 6, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Marietta Memorial Hospital NPPES

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

MARIETTA MEMORIAL HOSPITAL (NPI 1962339689) is a healthcare organization registered as a multi-specialty in Logan, Ohio and active in the NPI registry since May 2026. The organization holds a CLIA Waiver certificate valid through August 28, 2027 and lists Paul G Westbrock, Vp, Legal Affairs, as its authorized official.

NPPES Registry Identity

NPI1962339689
Entity TypeOrganization
Primary Taxonomy261QM1300X
Legal Business NameMARIETTA MEMORIAL HOSPITAL
Location Address751 STATE ROUTE 664 N UNIT ALogan, OH 43138-9250
Mailing Address416 Colegate Dr Bldg 3Marietta, OH 45750-9549 · (740) 374-6090 · Fax (740) 374-3165
Phone(740) 385-9646
Fax(740) 385-0630
Organization SubpartYes
Authorized OfficialPaul G WestbrockVp, Legal Affairs · (740) 374-1581
Enumeration DateMay 6, 2026
NPPES CertifiedMay 6, 2026
✔ NPI 1962339689 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM1300X
751 STATE ROUTE 664 N UNIT A, Logan, OH 43138
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Other Names 1

Other Name751 State Route 664 N Unit A

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 36D2329491

Marietta Memorial Hospital · Logan, OH
Active · expires Aug 28, 2027
CLIA Number36D2329491
Laboratory TypePhysician Office
Certificate Effective DateAugust 29, 2025
Certificate Expiration DateAugust 28, 2027
Laboratory DirectorDavid L. Cummin
Laboratory Phone(740) 385-9646
Laboratory LocationMarietta Memorial Hospital751 State Route 664 N, Logan, OH 43138
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 3

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

DR. DAVID L CUMMIN MD
Family Medicine
751 STATE ROUTE 664 N UNIT A
LOGAN, OH 43138
Hocking County (740) 385-9646
STACEY M SAMS CNP
Nurse Practitioner (Family)
751 STATE ROUTE 664 N UNIT A
LOGAN, OH 43138
Hocking County (740) 385-9646
SELBY GENERAL HOSPITAL
Clinic/Center (Rural Health)
751 STATE ROUTE 664 N UNIT A
LOGAN, OH 43138
Hocking County (740) 385-9646

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 Marietta Memorial Hospital's NPI number?

The NPI number for Marietta Memorial Hospital is 1962339689. It was assigned to this organization in the NPPES registry on May 6, 2026. The provider is also known as 751 State Route 664 N Unit A.

Where is Marietta Memorial Hospital located?

Marietta Memorial Hospital is located at 751 State Route 664 N Unit A, Logan, OH 43138. The listed phone number is (740) 385-9646.

What is Marietta Memorial Hospital's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.

Does Marietta Memorial Hospital hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 36D2329491) is associated with this NPI, valid through August 28, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Marietta Memorial Hospital was last updated on May 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.