FAYETTE MEMORIAL HOSPITAL ASSOCIATION INC (NPI# 1093774275) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093774275 |
| Entity Type | Organization |
| Organization Name | FAYETTE MEMORIAL HOSPITAL ASSOCIATION INC |
| Other Organization Name | FAYETTE REGIONAL HEALTH SYSTEM HOME HEALTH |
| Practice Address |
1941 Virginia Ave Connersville IN 47331-2833 |
| Mailing Address |
1941 Virginia Ave Connersville IN 47331 |
| Practice Telephone | 7658250046 |
| Practice Fax Number | 7658277783 |
| Mailing Telephone | 7658277717 |
| Mailing Fax Number | 7658277783 |
| Enumeration Date | 2006-03-17 |
| Last Update Date | 2016-07-14 |
| Authorized Official Name | RANDALL WHITE (CEO) |
| Authorized Official Telephone | 7658277987 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251E00000X | Home Health | 050091491 | IN | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 100263600A | 05 |
| Other Name | Type Code |
|---|---|
| Fayette Regional Health System Home Health | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750707964 | Fayette Memorial Hospital Association Inc | Clinic/Center | 2025 Virginia Ave, Connersville, IN 47331-2971 | 2014-03-12 |
| 1902125883 | Fayette Memorial Hospital Association Inc | Clinical Medical Laboratory | 1941 Virginia Ave, Connersville, IN 47331-2833 | 2010-05-18 |
| 1053370270 | Fayette Memorial Hospital Association Inc | Psychiatric Residential Treatment Facility | 450 Erie Ave, Connersville, IN 47331-3176 | 2006-03-18 |
| 1598724718 | Fayette Memorial Hospital Association Inc | Hospice Care, Community Based | 420 W 24th St, Connersville, IN 47331-2947 | 2006-03-18 |
| 1508835216 | Fayette Memorial Hospital Association Inc | Rehabilitation Unit | 1941 Virginia Ave, Connersville, IN 47331-2833 | 2006-03-15 |
| Street Address |
1941 VIRGINIA AVE |
| City | CONNERSVILLE |
| State | IN |
| Zip Code | 47331-2833 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609856996 | Gabor L Tolnay | Pathology | 1941 Virginia Ave, Connersville, IN 47331-2833 | 2006-01-20 |
| 1134692775 | Hcc of Connersville, LLC | Emergency Medicine | 1941 Virginia Ave, Connersville, IN 47331-2833 | 2019-01-07 |
| 1700351046 | Ess of Connersville, LLC | Emergency Medicine | 1941 Virginia Ave, Connersville, IN 47331-2833 | 2018-10-12 |
| 1114409844 | Dashell Lynn Tout | Licensed Practical Nurse | 1941 Virginia Ave, Connersville, IN 47331-2833 | 2018-08-29 |
| 1356790042 | Siskin Physicians LLC | Emergency Medicine | 1941 Virginia Ave, Connersville, IN 47331-2833 | 2016-06-03 |
| 1295146165 | Georgia Wagner | Dietitian, Registered | 1941 Virginia Ave, Connersville, IN 47331-2833 | 2014-05-14 |
| 1316369291 | Medical Hospitalists LLC | Hospitalist | 1941 Virginia Ave, Connersville, IN 47331-2833 | 2014-01-13 |
| 1205273554 | Resource Anesthesiology Associates of In LLC | Nurse Anesthetist, Certified Registered | 1941 Virginia Ave, Connersville, IN 47331-2833 | 2013-05-28 |
| 1225394919 | Connorsville Emergency Group PC | Physician Assistant | 1941 Virginia Ave, Connersville, IN 47331-2833 | 2012-04-06 |
| 1326353236 | Preferred Emergency Specialists, LLC | Emergency Medicine | 1941 Virginia Ave, Connersville, IN 47331-2833 | 2010-08-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275062630 | Williams Creek Health Center | Chiropractor | 685 S Co Rd 350 W, Connersville, IN 47331 | 2017-06-08 |
| 1801275201 | Americas Best Foot and Ankle Specialists | Podiatrist | 1475 East State Road 44 Suite 7., Whitewater Valley Medical Center, Connersville, IN 47331 | 2015-05-19 |
| 1508027269 | Kevin Andrew Yaryan | Optometrist | 522 N Eastern Ave, Connersville, IN 47331 | 2008-06-24 |
| 1477694602 | Residential Crf, Inc. | Intermediate Care Facility, Mentally Retarded | 556 S Co Rd 550 W, Connersville, IN 47331 | 2007-02-09 |
| 1316024904 | Mark Milton Wynn | Chiropractor | 208 W 20th St, Connersville, IN 47331 | 2006-11-01 |
| 1356368104 | Fayette County Government | Clinic/Center | 401 Central Ave, Connersville, IN 47331 | 2006-07-17 |
| 1760437818 | Karl Phillip Greene | Optometrist | 2045 Virginia Avenue, Connersville, IN 47331 | 2006-05-24 |
| 1225098825 | Fayette Memorial Hospital Assoc Inc | Clinic/Center | 3542 N Western Ave, Connersville, IN 47331 | 2006-03-27 |
| 1437118973 | Jereme Shawn Pflum | Chiropractor | 685 S. C.r. 350 W, Connersville, IN 47331 | 2006-03-22 |
| 1649279258 | The Health and Hospital Corporation of Marion County | Skilled Nursing Facility | 281 S County Road 200 E, Connersville, IN 47331 | 2005-07-15 |
| Find all providers in zip 47331 | ||||
| Taxonomy Code | 251E00000X |
| Grouping | Agencies |
| Classification | Home Health |
| A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety. |
| Notes: Source: CFR42 Chapter IV Part 484, http://www.access.gpo.gov/nara/cfr/waisidx_99/42cfr484_99.html [7/1/2007: definition added, source added] |
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| 1730790536 | Confidence Personal Homecare Services, LLC | Home Health | 2315 Hermitage Way Apt 315, Indianapolis, IN 46224-3821 | 2020-08-14 |
| 1982214896 | 1st Seniors LLC | Home Health | 598 W Carmel Dr Ste F, Carmel, IN 46032-2667 | 2020-08-05 |
| Find all providers with the same taxonomy | ||||
| City | CONNERSVILLE |
| Zip Code | 47331 |
Please comment or provide details below to improve the information on FAYETTE MEMORIAL HOSPITAL ASSOCIATION INC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.