Provider Demographics
NPI:1407474844
Name:MEMORIAL HOSPITAL OF UNION COUNTY
Entity type:Organization
Organization Name:MEMORIAL HOSPITAL OF UNION COUNTY
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:VP/CFO
Authorized Official - Prefix:
Authorized Official - First Name:JEFF
Authorized Official - Middle Name:
Authorized Official - Last Name:EHLERS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:937-578-2344
Mailing Address - Street 1:411 W 5TH ST
Mailing Address - Street 2:
Mailing Address - City:MARYSVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:43040-1019
Mailing Address - Country:US
Mailing Address - Phone:937-644-1322
Mailing Address - Fax:937-644-2360
Practice Address - Street 1:411 W 5TH ST
Practice Address - Street 2:
Practice Address - City:MARYSVILLE
Practice Address - State:OH
Practice Address - Zip Code:43040-1019
Practice Address - Country:US
Practice Address - Phone:937-644-1322
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:MEMORIAL HOSPITAL OF UNION COUNTY
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2020-07-13
Last Update Date:2024-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy