JAY COUNTY HOSPITAL (NPI# 1275506024) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275506024 |
| Entity Type | Organization |
| Organization Name | JAY COUNTY HOSPITAL |
| Other Organization Name | LIFEBRIDGE |
| Practice Address |
500 W Votaw St Portland IN 47371-1322 |
| Practice Telephone | 2607267131 |
| Practice Fax Number | 2607261976 |
| Mailing Telephone | 2607267131 |
| Mailing Fax Number | 2607261976 |
| Enumeration Date | 2006-02-10 |
| Last Update Date | 2008-11-24 |
| Authorized Official Name | LYNN HAMPSON (PATIENT INFORMATION SERVICES COORDI) |
| Authorized Official Telephone | 2607261812 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 273R00000X | Psychiatric Unit | 005029 | IN | Hospital Units |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 100269610B | 05 |
| Other Name | Type Code |
|---|---|
| LifeBridge | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366741092 | Jay County Hospital | Surgery | 510 W Votaw St, Suite B, Portland, IN 47371-1322 | 2011-03-21 |
| 1033115993 | Jay County Hospital | General Acute Care Hospital | 500 W Votaw St, Portland, IN 47371-1322 | 2005-06-24 |
| 1952759557 | Jay County Hospital | Family Medicine | 500 W Votaw St, Suite A, Portland, IN 47371-1322 | 2016-05-25 |
| 1669795985 | Jay County Hospital | Family Medicine | 428 W Votaw St, Suite A, Portland, IN 47371-1302 | 2010-03-02 |
| 1619290897 | Jay County Hospital | Family Medicine | 1758 W 100 S, Portland, IN 47371-8204 | 2010-03-02 |
| 1114177078 | Jay County Hospital | Internal Medicine | 500 W Votaw St, Portland, IN 47371-1322 | 2008-09-26 |
| 1467601757 | Jay County Hospital | Social Worker | 500 W Votaw St, Portland, IN 47371-1322 | 2008-09-11 |
| 1548327307 | Jay County Hospital | Family Medicine | 1150 S Main St, Dunkirk, IN 47336-9701 | 2007-01-02 |
| 1578590402 | Jay County Hospital | Pharmacy | 500 W Votaw St, Portland, IN 47371-1322 | 2006-06-27 |
| 1568435337 | Jay County Hospital | Medicare Defined Swing Bed Unit | 500 W Votaw St, Portland, IN 47371-1322 | 2006-02-10 |
| Street Address |
500 W VOTAW ST |
| City | PORTLAND |
| State | IN |
| Zip Code | 47371-1322 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033115993 | Jay County Hospital | General Acute Care Hospital | 500 W Votaw St, Portland, IN 47371-1322 | 2005-06-24 |
| 1972074482 | Cassandra Louise Alexander | Social Worker | 500 W Votaw St, Portland, IN 47371-1322 | 2018-12-10 |
| 1669991279 | Indiana University Health Jay, Inc. | Medicare Defined Swing Bed Unit | 500 W Votaw St, Portland, IN 47371-1322 | 2017-09-14 |
| 1821517533 | Indiana University Health Jay, Inc. | Psychiatric Unit | 500 W Votaw St, Portland, IN 47371-1322 | 2017-09-13 |
| 1801315692 | Indiana University Health Jay, Inc. | General Acute Care Hospital | 500 W Votaw St, Portland, IN 47371-1322 | 2017-09-13 |
| 1871018119 | Matthew Sieg | Nurse Practitioner | 500 W Votaw St, Portland, IN 47371-1322 | 2017-08-08 |
| 1457803769 | Meridian Health Services Corp | Clinic/Center | 500 W Votaw St, Suite A, Portland, IN 47371-1322 | 2016-11-03 |
| 1336694736 | Anne Hardesty | Nurse Practitioner | 500 W Votaw St, Portland, IN 47371 | 2016-08-16 |
| 1952759557 | Jay County Hospital | Family Medicine | 500 W Votaw St, Suite A, Portland, IN 47371-1322 | 2016-05-25 |
| 1043672660 | Heather Ann Masters | Nurse Practitioner | 500 W Votaw St, Portland, IN 47371-1322 | 2016-03-23 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093365355 | Susan Hathaway | Technician | 3783 West 800 South, Portland, IN 47371 | 2019-09-18 |
| 1336643410 | Lisa Marcella Moore | Nurse Practitioner | 500 W. Votaw Street, Portland, IN 47371 | 2018-03-22 |
| 1609186030 | Carolyn Louise Keihn | Nurse Practitioner | 430 W. Votaw St., Portland, IN 47371 | 2010-10-19 |
| 1922125384 | Carla Ann Ford | Social Worker | 1758 W 100s, Jay County Hopsital Behavioral Health, Portland, IN 47371 | 2007-03-23 |
| 1902824956 | Midwest Healthstrategies, Inc | Physical Therapist | 1745 W 100 S, Portland, IN 47371 | 2006-07-18 |
| 1346212875 | Jenni Clear | Chiropractor | 603 N Meridian St, Portland, IN 47371 | 2006-02-07 |
| 1497756043 | Jay County Government | Ambulance | 902 N Creagor Ave, Portland, IN 47371 | 2005-08-04 |
| 1861574006 | Wal-mart Stores East, Lp | Technician/Technologist | 950 W Votaw St, Portland, IN 47371 | 2006-10-19 |
| 1982677241 | James P Clear | Chiropractor | 603 N Meridian St, Portland, IN 47371 | 2006-02-08 |
| 1982749867 | Family Practice of Jay County | Family Medicine | 428 West Votaw Street, Ste. A, Portland, IN 47371-0710 | 2007-02-20 |
| Find all providers in zip 47371 | ||||
| Taxonomy Code | 273R00000X |
| Grouping | Hospital Units |
| Classification | Psychiatric Unit |
| In general, a distinct unit of a hospital that provides acute or long-term care to emotionally disturbed patients, including patients admitted for diagnosis and those admitted for treatment of psychiatric problems on the basis of physicians' orders and approved nursing care plans. Long-term care may include intensive supervision to the chronically mentally ill, mentally disordered or other mentally incompetent persons; (2) For Medicare, a distinct part of a general acute care hospital admitting only patients whose admission to the unit is required for active treatment, whose treatment is of an intensity that can be provided only in an inpatient hospital setting, and whose condition is described by a psychiatric principal diagnosis contained in the Third Edition of the American Psychiatric Association Diagnostic and Statistical Manual or in Chapter 5 (Mental Disorders) of the International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM). The unit must furnish, through the use of qualified personnel, psychological services, social work services, psychiatric nursing, occupational therapy, and recreational therapy. The unit must maintain medical records that permit determination of the degree and intensity of treatment provided to individuals who are furnished services in the unit; the unit must meet special staff requirements in that the unit must have adequate numbers of qualified professional and supportive staff to evaluate inpatients, formulate written, individualized, comprehensive treatment plans, provide active treatment measures and engage in discharge planning. |
| Notes: Source: (1) AHA Annual Survey p. A10 1996 AHA Guide; (2) Code of Federal Regulations #42, Section 412.27. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821517533 | Indiana University Health Jay, Inc. | Psychiatric Unit | 500 W Votaw St, Portland, IN 47371-1322 | 2017-09-13 |
| 1245773225 | Legacy Emanuel Hospital & Health Center | Psychiatric Unit | 1225 Ne 2nd Ave, Portland, OR 97232-2003 | 2016-11-23 |
| 1164811972 | Providence Health & Services Oregon | Psychiatric Unit | 9205 Sw Barnes Rd, Portland, OR 97225-6603 | 2015-01-16 |
| 1023194271 | Providence Health & Services - Oregon | Psychiatric Unit | 4805 Ne Glisan St, Portland, OR 97213-2933 | 2006-10-31 |
| 1164507695 | Portland Veterans Affairs Medical Center | Psychiatric Unit | 3710 Sw Us Veterans Hospital Rd, Portland, OR 97239-2964 | 2006-10-25 |
| 1003822487 | Legacy Emanuel Hospital & Health Center | Psychiatric Unit | 1225 Ne 2nd Ave, Portland, OR 97232-2003 | 2006-07-31 |
| 1336162874 | Legacy Good Samaritan Hospital and Medical Center | Psychiatric Unit | 1015 Nw 22nd Ave, Portland, OR 97210-3025 | 2006-07-25 |
| 1811917222 | Mainehealth | Psychiatric Unit | 22 Bramhall St, Portland, ME 04102 | 2006-07-20 |
| 1033191309 | Portland Adventist Medical Center | Psychiatric Unit | 10123 Se Market St, Portland, OR 97216-2532 | 2005-11-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376841395 | Memorial Hospital of South Bend | Psychiatric Unit | 420 N Niles Ave, South Bend, IN 46617-1918 | 2011-03-01 |
| 1760521140 | Otis R. Bowen Center | Psychiatric Unit | 1535 Provident Dr., Warsaw, IN 46580 | 2007-02-05 |
| 1811042237 | St. Marys Warrick Hospital, Inc. | Psychiatric Unit | 1116 Millis Avenue, Boonville, IN 47601 | 2007-01-24 |
| 1104998624 | Columbus Regional Hospital | Psychiatric Unit | 2400 East 17th St, Columbus, IN 47201-5351 | 2006-11-14 |
| 1922463454 | La Porte Hospital Company LLC | Psychiatric Unit | 1007 Lincolnway, La Porte, IN 46350-3201 | 2015-12-29 |
| 1396015251 | The Methodist Hospitals, Inc | Psychiatric Unit | 600 Grant St, Gary, IN 46402-6001 | 2012-01-10 |
| 1760751069 | Nicki Williamson, Msw, Lcsw, LLC | Psychiatric Unit | 101 W Kirkwood Ave, Suite 121, Bloomington, IN 47404-6129 | 2011-12-16 |
| 1730492018 | Indiana Clinic | Psychiatric Unit | 1701 N Senate Blvd, Indianapolis, IN 46202-1239 | 2010-07-15 |
| 1972788784 | James R Davis Md LLC | Psychiatric Unit | 2700 Vissing Park Rd, Jeffersonville, IN 47130-5989 | 2007-12-31 |
| 1548467350 | Indiana University Health Morgan Hospital Inc | Psychiatric Unit | 2209 John R Wooden Dr, Martinsville, IN 46151-1840 | 2007-06-27 |
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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.