MEMORIAL HOSPITAL (NPI# 1154301661) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154301661 |
| Entity Type | Organization |
| Organization Name | MEMORIAL HOSPITAL |
| Other Organization Name | AMBULANCE |
| Practice Address |
1101 Michigan Ave Logansport IN 46947-1528 |
| Practice Telephone | 5747531502 |
| Mailing Telephone | 5747531502 |
| Enumeration Date | 2006-01-19 |
| Last Update Date | 2010-10-19 |
| Authorized Official Name | MR. DAVID AMEEN (PRESIDENT/CEO) |
| Authorized Official Telephone | 5747531385 |
| Is Organization Subpart | Y |
| Parent Organization Name | MEMORIAL HOSPITAL |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3416L0300X |
Ambulance Specialization: Land Transport |
050050661 | IN | Transportation Services |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 100453840A | 05 |
| Other Name | Type Code |
|---|---|
| Ambulance | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528447992 | Memorial Hospital | General Acute Care Hospital | 1400 E. Boulder St. #3138, Colorado Springs, CO 80045 | 2015-05-19 |
| 1629469002 | Memorial Hospital | Family Medicine | 2319 Old Plank Road, Chester, IL 62233-1116 | 2015-02-06 |
| 1609073709 | Memorial Hospital | Nurse Practitioner | 9099 E Lansing Rd Ste B, Durand, MI 48429-1083 | 2007-07-02 |
| 1003025883 | Memorial Hospital | Psychiatric Residential Treatment Facility | 806 Central Ave Se, Albuquerque, NM 87102-3606 | 2007-05-21 |
| 1376759563 | Memorial Hospital | Family Medicine | 86 Savannah Lane, Bulan, KY 41722 | 2007-05-15 |
| 1598977787 | Memorial Hospital | Family Medicine | 3337 W Britton Rd, Perry, MI 48872 | 2007-05-03 |
| 1639209232 | Memorial Hospital | Internal Medicine | 1480 N M 52, Owosso, MI 48867-1235 | 2007-03-06 |
| 1306973805 | Memorial Hospital | Physician Assistant | 207 Shirlwood Dr, Schenectady, NY 12306-3417 | 2007-02-28 |
| 1851338149 | Memorial Hospital | General Acute Care Hospital | 715 South Taft Avenue, Fremont, OH 43420-3200 | 2006-06-02 |
| 1316923485 | Memorial Hospital | Hospice Care, Community Based | 1412 6th Ave, York, PA 17403-2648 | 2005-12-20 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | MEMORIAL HOSPITAL | 224 E 2nd St, Dumas, TX 79029-3808 |
| System for Award Management (SAM) Entities | MEMORIAL HOSPITAL & HEALTH CARE CENTER | 800 W 9th St, Jasper, IN 47546-2514 |
| System for Award Management (SAM) Entities | MEMORIAL HOSPITAL AND COMMUNITY HEALTH FOUNDATION INC | 112 East Fifth Avenue, Antigo, WI 54409-2710 |
| System for Award Management (SAM) Entities | MEMORIAL HOSPITAL AND HOMES ASSOCIATION, INC. | 415 8th Ave Sw, Perham, MN 56573-1156 |
| System for Award Management (SAM) Entities | MEMORIAL HOSPITAL AND MANOR | 1500 E Shotwell St, Bainbridge, GA 39819-4256 |
| System for Award Management (SAM) Entities | MEMORIAL HOSPITAL AND MEDICAL CENTER | 400 Rosalind Redfern Grover Parkway, Midland, TX 79701-5846 |
| System for Award Management (SAM) Entities | MEMORIAL HOSPITAL AT GULFPORT | 4500 13th St, Gulfport, MS 39501-2515 |
| System for Award Management (SAM) Entities | MEMORIAL HOSPITAL CENTRAL | 1400 E Boulder St, Colorado Springs, CO 80909-5533 |
| System for Award Management (SAM) Entities | MEMORIAL HOSPITAL EAST | 1404 Cross St, Shiloh, IL 62269-2988 |
| System for Award Management (SAM) Entities | MEMORIAL HOSPITAL FOR CANCER & ALLIED DISEASES | 1275 York Ave, New York, NY 10065-6007 |
| Street Address |
1101 MICHIGAN AVE |
| City | LOGANSPORT |
| State | IN |
| Zip Code | 46947-1528 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700885274 | Rose M Ewing | Nurse Practitioner | 1101 Michigan Ave, Logansport, IN 46947-1528 | 2005-07-18 |
| 1053918409 | Jill Yager | Physician Assistant | 1101 Michigan Ave, Logansport, IN 46947-1528 | 2020-10-07 |
| 1093320038 | Jennifer Hager | Nurse Anesthetist, Certified Registered | 1101 Michigan Ave, Logansport, IN 46947-1528 | 2020-09-15 |
| 1992313738 | Laboratory Corporation of America Holdings | Clinical Medical Laboratory | 1101 Michigan Ave, Logansport, IN 46947-1528 | 2020-07-17 |
| 1639704711 | Norma Fielding | Dietitian, Registered | 1101 Michigan Ave, Logansport, IN 46947-1528 | 2020-03-09 |
| 1699315648 | Rachel Leann Tiefel | Nurse Practitioner | 1101 Michigan Ave, Logansport, IN 46947-1528 | 2020-01-07 |
| 1558904441 | Matthew Miller | Nurse Anesthetist, Certified Registered | 1101 Michigan Ave, Logansport, IN 46947-1528 | 2019-10-23 |
| 1396394300 | Labcorp Indiana Inc | Clinical Medical Laboratory | 1101 Michigan Ave, Logansport, IN 46947-1528 | 2019-09-11 |
| 1124585351 | Marcia K Nagle | Dietitian, Registered | 1101 Michigan Ave, Logansport, IN 46947-1528 | 2019-02-24 |
| 1679059729 | Sydney Rae Sims | Specialist/Technologist | 1101 Michigan Ave, Logansport, IN 46947-1528 | 2018-07-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578199345 | Stephanie Anne Dill | Family Medicine | 1101 Michigan Address, Logansport, IN 46947 | 2020-03-12 |
| 1023564259 | Wecare Tlc - Lcsc Health and Wellness | Clinic/Center | 2500 Hopper Street, Door C-13, Logansport, IN 46947 | 2016-08-28 |
| 1801266283 | Cheryl Lynn Ulery | Occupational Therapy Assistant | 5105 Northcrest Drive, Logansport, IN 46947 | 2015-09-29 |
| 1346618691 | Jan Hoover | Nurse Practitioner | 1025 Michigan Ave Ste 125, Logansport, IN 46947 | 2015-09-03 |
| 1922431741 | Ourhealth Physician Group, LLC | Clinic/Center | 99 E. Dewey St., Logansport, IN 46947 | 2013-08-15 |
| 1215245816 | Wal-mart Stores East Lp | Technician/Technologist | 240 Mall Road, Logansport, IN 46947 | 2010-09-16 |
| 1770778359 | Assisted Living Concepts Inc | Assisted Living Facility | 3901 High Street Road, Logansport, IN 46947 | 2007-09-07 |
| 1417152943 | Mary A Deinnocentes | Audiologist | 1325 N. 200 E., Logansport, IN 46947 | 2007-06-15 |
| 1396965018 | Elizabeth Dockerty Smith | Dentist | 335 Mall Road, Logansport, IN 46947 | 2007-04-26 |
| 1659599686 | Donna Beck Hermance | Physical Therapist | Northcentral Indiana Sports Center, 1603 Chase Road, Logansport, IN 46947 | 2007-04-23 |
| Find all providers in zip 46947 | ||||
| Taxonomy Code | 3416L0300X |
| Grouping | Transportation Services |
| Classification | Ambulance |
| Specialization | Land Transport |
| Definition to come... |
| Notes: [1/1/2005: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275050023 | City of Logansport | Ambulance | 630 High St, Logansport, IN 46947-2767 | 2017-08-23 |
| 1902048853 | Cass County Ems | Ambulance | 1101 Michigan Ave, Logansport, IN 46947-1528 | 2009-03-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922648781 | Center-jackson Township Fire Territory Corporation | Ambulance | 11216 E State Road 54, Bloomfield, IN 47424-6073 | 2020-01-09 |
| 1518503721 | Olive Township St Joseph County | Ambulance | 204 E. Michigan, New Carlisle, IN 46552 | 2019-11-22 |
| 1871146365 | City of Muncie | Ambulance | 300 N High St, Muncie, IN 47305-1639 | 2019-07-23 |
| 1063987824 | Norwood Enterprises, LLC | Ambulance | 1256 E 86th Pl, Merrillville, IN 46410-6338 | 2018-10-09 |
| 1619472081 | Stoney Creek Township Madison County | Ambulance | 8871 W 200 S, Lapel, IN 46051-9712 | 2018-03-28 |
| 1710492939 | Phoenix Paramedic Solutions, LLC | Ambulance | 1600 Kepner Dr Ste E, Lafayette, IN 47905-7436 | 2017-12-11 |
| 1174035570 | Blue Angel Ems, LLC | Ambulance | 8250 E 95th Pl, Crown Point, IN 46307-9464 | 2017-10-26 |
| 1689191462 | West Point Volunteer Fire Association, Inc | Ambulance | 4949 St. Rd. 25 South, West Point, IN 47992-0071 | 2017-08-23 |
| 1861918849 | Corey Simmons | Ambulance | 3659 N Temple Ave, Indianapolis, IN 46218 | 2017-08-21 |
| 1407389158 | Hoosier Taxi Inc | Ambulance | 110 N Michigan St, Lakeville, IN 46536-7701 | 2017-04-10 |
| Find all providers with the same taxonomy | ||||
| City | LOGANSPORT |
| Zip Code | 46947 |
Please comment or provide details below to improve the information on MEMORIAL HOSPITAL.
| 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.