WYANDOT MEMORIAL HOSPITAL
NPI: 1861908071
· FOREST, OH 45843
· Rural Health Clinic/Center
· NPI assigned 12/26/2017
Deactivated NPI
· This NPI was deactivated on 08/11/2022. Reactivated 09/23/2022.
$867.94
Total Medicaid Paid
Provider Details
| Authorized Official | SHAULL, TY (PRESIDENT & CEO) |
| Parent Organization | WYANDOT MEMORIAL HOSPITAL |
| NPI Enumeration Date | 12/26/2017 |
Related Entities
Other providers sharing the same authorized official: SHAULL, TY
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2020 |
14 |
$383.64 |
| 2021 |
15 |
$484.30 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
29 |
27 |
$867.94 |