COMMUNITY HOSPITAL OF LAGRANGE COUNTY, INC. (NPI# 1154361830) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154361830 |
| Entity Type | Organization |
| Organization Name | COMMUNITY HOSPITAL OF LAGRANGE COUNTY, INC. |
| Other Organization Name | SHIPSHEWANA FAMILY HEALTHCARE |
| Practice Address |
8175 West Us20 Shipshewana IN 46565 |
| Mailing Address |
Po Box 5600 Fort Wayne IN 46895-5600 |
| Practice Telephone | 2607687432 |
| Practice Fax Number | 2067687482 |
| Mailing Telephone | 2603737008 |
| Mailing Fax Number | 2603737059 |
| Enumeration Date | 2006-06-08 |
| Last Update Date | 2007-08-21 |
| Authorized Official Name | MR. MARK NAFZIGER (EXECUTIVE VP -- CFO) |
| Authorized Official Telephone | 2603737008 |
| Is Organization Subpart | Y |
| Parent Organization Name | COMMUNITY HOSPITAL OF LAGRANGE COUNTY, INC. |
| Parent Organization TIN |
|
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Shipshewana Family Healthcare | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912008772 | Community Hospital of Lagrange County, Inc. | General Acute Care Hospital | 207 N Townline Rd, Lagrange, IN 46761-1325 | 2006-09-26 |
| 1801997184 | Community Hospital of Lagrange County, Inc. | Ambulance | 207 N Townline Rd, Lagrange, IN 46761-1325 | 2006-09-26 |
| Street Address |
8175 WEST US20 |
| City | SHIPSHEWANA |
| State | IN |
| Zip Code | 46565 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518057991 | Douglas G Whitehead | Dentist | 2120 N 850 W, Shipshewana, IN 46565 | 2006-10-13 |
| 1699868380 | Diabetic Solutions LLC | Durable Medical Equipment & Medical Supplies | 240 N Morton St, Shipshewana, IN 46565 | 2006-10-02 |
| 1982674347 | Milad Helmy Hanna | Family Medicine | 8175 W Us Highway 20, Shipshewana, IN 46565 | 2006-01-26 |
| 1003895913 | Richard Lewis Knecht | Pharmacist | 260 Morton St, Shipshewana, IN 46565 | 2006-01-10 |
| 1790762938 | Hostetler's Store Inc | Pharmacist | Corner Main and Morton St, Shipshewana, IN 46565 | 2005-12-29 |
| 1154303238 | Janelle Warner Ashby | Psychologist | 245 N. Morton, Shipshewana, IN 46565 | 2005-11-15 |
| 1194714667 | Sarah R Rhodes | Specialist/Technologist | 1001 Mckinley Ave., Department of Athletics, Mishawaka, IN 46565 | 2005-10-18 |
| 1164408753 | Catherine Mary Williamson | Pharmacist | Corner of Main St. & Morton St., Shipshewana, IN 46565-0155 | 2005-12-16 |
| 1205915477 | Christian Psychological Services, P.C. | Psychologist | 245 N. Morton St., Second Floor, Shipshewana, IN 46565-0414 | 2006-11-06 |
| 1083862072 | Charlene Jean Roth | Marriage & Family Therapist | 5460 N 450 W, Shipshewana, IN 46565-8504 | 2008-09-03 |
| Find all providers in zip 46565 | ||||
| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
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| 1659935781 | Rush Memorial Hospital | Clinic/Center | 201 Conrad Harcourt Way Ste A, Rushville, IN 46173-1157 | 2019-04-24 |
| 1174186894 | Woodlawn Hospital | Clinic/Center | 100 E Dunn St, Fulton, IN 46931 | 2019-04-18 |
| 1710540695 | Woodlawn Hospital | Clinic/Center | 105 N Sr 14, Akron, IN 46910 | 2019-04-17 |
| 1174091771 | Baptist Health Medical Group Inc | Clinic/Center | 313 Federal Dr Nw Ste 130, Corydon, IN 47112-3099 | 2018-11-13 |
| 1457860173 | Major Hospital | Clinic/Center | 2451 Intelliplex Dr Ste 230, Shelbyville, IN 46176-8581 | 2017-09-26 |
| 1699194704 | Mso Clinics, Inc. | Clinic/Center | 8685 Old Highway 41 South, Carlisle, IN 47838-8234 | 2014-04-16 |
| 1538417860 | Reid Physician Associates, Inc | Clinic/Center | 1250 Chester Blvd Ste 2, Richmond, IN 47374-1944 | 2012-08-16 |
| 1023340965 | Daviess County Hospital | Clinic/Center | 1805 S State Road 57, Washington, IN 47501-4326 | 2010-02-03 |
| Find all providers with the same taxonomy | ||||
| City | SHIPSHEWANA |
| Zip Code | 46565 |
Please comment or provide details below to improve the information on COMMUNITY HOSPITAL OF LAGRANGE COUNTY, 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.