| Organization Name: | COMMUNITY MEMORIAL HOSPITAL |
| NPI Number: | 1043438138 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | SHARON MCGOWAN (VICE PRESIDENT FINANCE CFO) |
| Mailing Address: | 208 Columbus St Hicksville |
| State: | OH US |
| Postal Code: | 435261250 |
| Phone Number: | 4195425564 |
| Fax Number: | 4195426506 |
| NPI Enumeration Date: | 04/23/2007 |
| NPI Last Update Date: | 06/30/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 282NC0060X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OH |
| Taxonomy Type: | Hospitals |
| Taxonomy Classification: | General Acute Care Hospital |
| Taxonomy Specialization: | Critical Access |
| Taxonomy Definition: | |