MEDICARE: JOINT TOWNSHIP DISTRICT MEMORIAL HOSPITAL

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251G00000X	Community Based Hospice Care Agency	0160HSP	OH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	0160HSP	OTHER	OH	STATE LICENSE

General Provider Information

NPI Number	:	1215077870
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JOINT TOWNSHIP DISTRICT MEMORIAL HOSPITAL

Provider Business Mailing Address
First Line	:	200 SAINT CLAIR AVE
Second Line	:
City	:	SAINT MARYS
State	:	OH
Zip	:	45885-2400
Country	:	US
Telephone Number	:	419-394-3335
Fax Number	:	419-394-8485

Provider Business Practice Location Address
First Line	:	1122 E SPRING ST
Second Line	:
City	:	SAINT MARYS
State	:	OH
Zip	:	45885-2402
Country	:	US
Telephone Number	:	419-394-7434
Fax Number	:	419-394-6503

Authorized Official
Title or Position	:	CFO
Name	:	TRICIA ANN POHL
Credential	:
Telephone Number	:	419-394-3387

Provider Enumeration Date	:	02/06/2007
Last Update Date	:	02/06/2024

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Directions to “JOINT TOWNSHIP DISTRICT MEMORIAL HOSPITAL ” Practice Location

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