Healthcare Provider Details

I. General information

NPI: 1477554475
Provider Name (Legal Business Name): WYANDOT MEMORIAL HOSPITAL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/02/2005
Last Update Date: 01/13/2026
Certification Date: 01/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

885 N SANDUSKY AVE
UPPER SANDUSKY OH
43351-1031
US

IV. Provider business mailing address

885 N SANDUSKY AVE
UPPER SANDUSKY OH
43351-1031
US

V. Phone/Fax

Practice location:
  • Phone: 419-294-4991
  • Fax: 419-092-0278
Mailing address:
  • Phone: 419-294-4991
  • Fax: 419-294-2233

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QU0200X
TaxonomyUrgent Care Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code291U00000X
TaxonomyClinical Medical Laboratory
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code282NC0060X
TaxonomyCritical Access Hospital
License Number
License Number State

VIII. Authorized Official

Name: KENDRA NOYES
Title or Position: PRESIDENT AND CEO
Credential:
Phone: 419-294-4991