IROQUOIS MEMORIAL HOSPITAL AND RESIDENT HOME (NPI# 1467470906) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467470906 |
| Entity Type | Organization |
| Organization Name | IROQUOIS MEMORIAL HOSPITAL AND RESIDENT HOME |
| Other Organization Name | IMH KENTLAND CLINIC |
| Practice Address |
303 N 7th St Kentland IN 47951-1379 |
| Practice Telephone | 2194745464 |
| Practice Fax Number | 2194743603 |
| Mailing Telephone | 2194745464 |
| Mailing Fax Number | 2194743603 |
| Enumeration Date | 2006-07-17 |
| Last Update Date | 2017-01-17 |
| Authorized Official Name | TIMOTHY L SMITH (COO) |
| Authorized Official Telephone | 81584327967 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | BLUE CROSS BLUE SHIELD | 0003815082 | 01 |
| IN | 200133940A | 05 |
| Other Name | Type Code |
|---|---|
| IMH Kentland Clinic | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992894802 | Iroquois Memorial Hospital and Resident Home | Skilled Nursing Facility | 200 E Fairman Avenue, Watseka, IL 60970-1644 | 2006-10-11 |
| 1578580346 | Iroquois Memorial Hospital and Resident Home | Clinic/Center | 34 E Jones St, Milford, IL 60953-1046 | 2006-07-16 |
| 1366469132 | Iroquois Memorial Hospital and Resident Home | Clinic/Center | 508 E Crescent St, Gilman, IL 60938-1702 | 2006-07-16 |
| 1366447617 | Iroquois Memorial Hospital and Resident Home | Home Health | 200 Laird Ln, Watseka, IL 60970-7568 | 2005-06-14 |
| 1447610472 | Iroquois Memorial Hospital and Resident Home | Clinic/Center | 200 Laird Ln, Watseka, IL 60970-7568 | 2016-03-03 |
| 1285718478 | Iroquois Memorial Hospital and Resident Home | Medicare Defined Swing Bed Unit | 200 E Fairman Ave, Watseka, IL 60970-1644 | 2006-10-24 |
| 1790889194 | Iroquois Memorial Hospital and Resident Home | Family Medicine | 200 Laird Ln, Watseka, IL 60970-7568 | 2006-09-07 |
| 1629003470 | Iroquois Memorial Hospital and Resident Home | Pharmacy | 200 E Fairman Ave, Watseka, IL 60970-1644 | 2006-07-11 |
| 1841295763 | Iroquois Memorial Hospital and Resident Home | Hospice Care, Community Based | 200 Laird Ln, Iroquois Regional Health Center, Watseka, IL 60970-7568 | 2005-06-16 |
| Street Address |
303 N 7TH ST |
| City | KENTLAND |
| State | IN |
| Zip Code | 47951-1379 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851952832 | Laura Mae Terrell | Family Medicine | 303 N 7th St, Kentland, IN 47951-1379 | 2019-06-21 |
| 1427565563 | Michelle Adwell | Nurse Practitioner | 303 N 7th St, Kentland, IN 47951-1379 | 2018-01-10 |
| 1992162648 | Colleen Henderson | Nurse Practitioner | 303 N 7th St, Kentland, IN 47951-1379 | 2016-01-26 |
| 1609279249 | Jessica St. John | Nurse Practitioner | 303 N 7th St, Kentland, IN 47951-1379 | 2014-09-26 |
| 1588797294 | Deborah L Morgan | Nurse Practitioner | 303 N 7th St, Kentland, IN 47951-1379 | 2007-03-13 |
| 1063552990 | Gonzalo T Florido | Internal Medicine | 303 N 7th St, Kentland, IN 47951-1379 | 2007-02-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710525175 | Proactive - South Newton | Clinic/Center | 1388 South 50 East, Kentland, IN 47951 | 2019-12-17 |
| 1326091703 | Sunny D. Ritchie | Marriage & Family Therapist | 208 E. Graham, Kentland, IN 47951 | 2006-05-18 |
| 1417967597 | Lowell G. Mitchell Jr. | Dentist | 310 E Lincoln St, Kentland, IN 47951-1135 | 2006-08-09 |
| 1366854143 | Kentland Family Dentistry | Dentist | 310 E Lincoln St, Kentland, IN 47951-1135 | 2014-05-28 |
| 1639581507 | Melinda Bodine | Dentist | 310 E Lincoln St, Kentland, IN 47951-1135 | 2014-05-27 |
| 1093976755 | Dr. Darrell R. Reed, Optometrist Inc. | Eyewear Supplier (Equipment, not the service) | 105 N 3rd St, Kentland, IN 47951-1211 | 2008-06-24 |
| 1285802959 | South Newton School Corporation | Local Education Agency (LEA) | 110 N 3rd St, Kentland, IN 47951-1212 | 2008-02-15 |
| 1518169937 | Jay Warren Brinkman | Chiropractor | 510 E Seymour St, Kentland, IN 47951-1240 | 2007-06-05 |
| 1255434940 | Hook Superx LLC | Pharmacy | 512 E Seymour St, Kentland, IN 47951-1240 | 2006-09-07 |
| 1295382885 | Brandon Wu | Pharmacist | 512 E Seymour St, Kentland, IN 47951-1240 | 2019-08-20 |
| Find all providers in zip 47951 | ||||
| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
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| 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 | ||||
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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.