GREENE COUNTY GENERAL HOSPITAL (NPI# 1164758330) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164758330 |
| Entity Type | Organization |
| Organization Name | GREENE COUNTY GENERAL HOSPITAL |
| Other Organization Name | GOOD SAMARITAN SOCIETY - NORTHWOOD RETIREMENT COMMUNITY |
| Practice Address |
2515 Newton St Jasper IN 47547-1047 |
| Mailing Address |
4800 W 57th St Sioux Falls SD 57108-2239 |
| Practice Telephone | 8124821722 |
| Practice Fax Number | 8126342793 |
| Enumeration Date | 2009-10-23 |
| Last Update Date | 2015-04-22 |
| Authorized Official Name | GRANT TRIBBLE (CFO, TREASURER) |
| Authorized Official Telephone | 6053623100 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 200951370A | 05 |
| Other Name | Type Code |
|---|---|
| Good Samaritan Society - Northwood Retirement Community | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205852712 | Greene County General Hospital | Skilled Nursing Facility | 618 W Glenburn Rd, Linton, IN 47441-5709 | 2006-07-15 |
| 1881634517 | Greene County General Hospital | Skilled Nursing Facility | 310 W. Carlisle St., Freelandville, IN 47535-0288 | 2006-06-08 |
| 1184695389 | Greene County General Hospital | Social Worker | 1185 N 1000 W, Linton, IN 47441-5282 | 2006-01-27 |
| 1609866383 | Greene County General Hospital | Durable Medical Equipment & Medical Supplies | 800 E Ohio St, Jasonville, IN 47438-1607 | 2005-10-25 |
| 1922098607 | Greene County General Hospital | Durable Medical Equipment & Medical Supplies | 2515 Newton St, Jasper, IN 47547-1047 | 2005-10-25 |
| 1962999599 | Greene County General Hospital | Social Worker | 102 E Main St, Worthington, IN 47471 | 2018-04-19 |
| 1053808683 | Greene County General Hospital | Social Worker | 1985 E Freedom Dr, Newberry, IN 47449 | 2018-04-19 |
| 1922595487 | Greene County General Hospital | Physician Assistant | 1210 N 1000 W, Linton, IN 47441 | 2018-04-19 |
| 1801383450 | Greene County General Hospital | Social Worker | 714 W Main St, Jasonville, IN 47438 | 2018-04-19 |
| 1821585563 | Greene County General Hospital | Specialist | 55 N Judge St, Bloomfield, IN 47424 | 2018-04-18 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | GREENE COUNTY GENERAL HOSPITAL | 1185 N 1000 W, Linton, IN 47441-5282 |
| System for Award Management (SAM) Entities | GREENE COUNTY GENERAL HOSPITAL FOUNDATION, INC. | 409 A St Ne, Linton, IN 47441-1907 |
| Street Address |
2515 NEWTON ST |
| City | JASPER |
| State | IN |
| Zip Code | 47547-1047 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922098607 | Greene County General Hospital | Durable Medical Equipment & Medical Supplies | 2515 Newton St, Jasper, IN 47547-1047 | 2005-10-25 |
| 1871071001 | Whitney Scraper | Speech-Language Pathologist | 2515 Newton St, Jasper, IN 47546-1329 | 2018-07-31 |
| 1518414309 | Kira Patton | Physical Therapist | 2515 Newton St, Jasper, IN 47546-1329 | 2016-09-08 |
| 1528211497 | Katrina Buse | Physical Therapy Assistant | 2515 Newton St, Jasper, IN 47546-1329 | 2008-10-23 |
| 1578734216 | Greene County General Hospital | Non-emergency Medical Transport (VAN) | 2515 Newton St, Jasper, IN 47546-1329 | 2008-03-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447341953 | David Thomas Pryor Jr. | Social Worker | 480 Eversman Drive, Suite F, Jasper, IN 47547-0769 | 2006-09-28 |
| 1952773111 | Kristina Groves | Social Worker | 480 Eversman Drive, Jasper, IN 47547-0769 | 2015-10-28 |
| 1104253814 | Abby Elizabeth Tenbarge | Psychologist | 480 Eversman Drive, Jasper, IN 47547-0769 | 2013-09-27 |
| 1316374069 | Holly E Hughes | Psychologist | 480 Eversman Drive, Jasper, IN 47547-0769 | 2013-09-26 |
| 1265869903 | Jessica Cody Miller | Psychologist | 480 Eversman Drive, Jasper, IN 47547-0769 | 2013-09-26 |
| 1790094324 | Rebecca L. Michael | Social Worker | 480 Eversman Drive, Jasper, IN 47547-0769 | 2010-09-30 |
| 1275768244 | Edward Joseph Kimmel Jr. | Social Worker | 480 Eversman Drive, Jasper, IN 47547-0769 | 2009-05-20 |
| Taxonomy Code | 310400000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Assisted Living Facility |
| A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235622820 | Sunrise Village Care LLC | Assisted Living Facility | 573 Pioneer Rd, Jasper, GA 30143-1225 | 2018-06-08 |
| 1912409137 | Victory Village | Assisted Living Facility | 3650 Salem Church Rd, Jasper, GA 30143-5288 | 2018-03-03 |
| 1942643135 | Jasper Sunrise Village | Assisted Living Facility | 100 Robert Ave N, Jasper, MN 56144-1219 | 2013-04-08 |
| 1417139221 | Rosewood Assisted Living Center, Inc | Assisted Living Facility | 41 Chestnut Cir, Jasper, TX 75951-4817 | 2007-12-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437757747 | Auburn Senior Living LLC | Assisted Living Facility | 1675 W. 7th Street, Auburn, IN 46706-2530 | 2020-10-09 |
| 1740895390 | The Health and Hospital Corporation of Marion County | Assisted Living Facility | 2002 Heritage Park Dr, Fort Wayne, IN 46805-5806 | 2020-09-10 |
| 1841804192 | Saint Anne Home of The Diocese of Fort Wayne-south Bend | Assisted Living Facility | 25 Victory Noll Dr, Huntington, IN 46750-9111 | 2020-09-03 |
| 1407460959 | Residential Care X L.L.C. | Assisted Living Facility | 7133 Meadow Trl, Brownsburg, IN 46112-1388 | 2020-09-02 |
| 1598379042 | Residential Care Xi L.L.C. | Assisted Living Facility | 10410 Allisonville Rd, Fishers, IN 46038-2017 | 2020-09-02 |
| 1821615444 | Newburgh Assisted Living, LLC | Assisted Living Facility | 4211 Grimm Rd, Newburgh, IN 47630-9444 | 2020-06-30 |
| 1003431461 | Residential Care Xiii L.L.C. | Assisted Living Facility | 741 Park East Blvd, Lafayette, IN 47905-0797 | 2020-06-11 |
| 1902429822 | Hellenic Senior Living of Mishawaka LLC | Assisted Living Facility | 1540 S. Logan Street, Mishawaka, IN 46544 | 2020-05-27 |
| 1659994200 | Lake Meadows Licensee LLC | Assisted Living Facility | 11570 E 126th Street, Fishers, IN 46037 | 2020-05-18 |
| 1730712886 | Cook Road Aal Lp | Assisted Living Facility | 3731 W Cook Rd, Fort Wayne, IN 46818-9403 | 2020-02-18 |
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| 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.