SULLIVAN COUNTY COMMUNITY HOSPITAL (NPI# 1497759260) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497759260 |
| Entity Type | Organization |
| Organization Name | SULLIVAN COUNTY COMMUNITY HOSPITAL |
| Practice Address |
2200 N Section St Sullivan IN 47882-7523 |
| Mailing Address |
Po Box 10 2200 N. Section Street Sullivan IN 47882-0010 |
| Practice Telephone | 8122684311 |
| Practice Fax Number | 8122682650 |
| Mailing Telephone | 8122684311 |
| Mailing Fax Number | 8122682650 |
| Enumeration Date | 2005-06-09 |
| Last Update Date | 2020-08-12 |
| Authorized Official Name | MS. MICHELLE FRANKLIN (CEO) |
| Authorized Official Telephone | 8122684311 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282NC0060X |
General Acute Care Hospital Specialization: Critical Access |
005013 | IN | Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | MEDICARE PART B | 941060 | 01 |
| IN | 100269970A | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366076564 | Sullivan County Community Hospital | Clinic/Center | 4146 S 7th St Ste B, Terre Haute, IN 47802-4123 | 2020-02-26 |
| 1790788537 | Sullivan County Community Hospital | Home Health | 2110 N Hospital Blvd Ste 3, Sullivan, IN 47882-7656 | 2005-05-24 |
| 1093323701 | Sullivan County Community Hospital | Clinic/Center | 2186 N Hospital Blvd Ste 2, Sullivan, IN 47882-7654 | 2020-07-20 |
| 1497363303 | Sullivan County Community Hospital | Family Medicine | 2186 N Hospital Blvd Ste 2, Sullivan, IN 47882-7654 | 2020-07-16 |
| 1154939320 | Sullivan County Community Hospital | Clinic/Center | 2200 N Section St, Sullivan, IN 47882-7523 | 2020-07-14 |
| 1447805965 | Sullivan County Community Hospital | Family Medicine | 2229 Mary Sherman Dr, Sullivan, IN 47882-7633 | 2019-08-02 |
| 1467884643 | Sullivan County Community Hospital | Clinic/Center | 2229 Mary Sherman Dr, Sullivan, IN 47882-7633 | 2013-07-30 |
| 1275827206 | Sullivan County Community Hospital | Clinic/Center | 8685 Old Highway 41 South, Carlisle, IN 47838-8234 | 2011-06-07 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | SULLIVAN COUNTY COMMUNITY HOSPITAL | 2200 N Section St, Sullivan, IN 47882-7523 |
| Indiana Business Entities | SULLIVAN COUNTY COMMUNITY HOSPITAL | Formed Pursuant To Ic 16-22-8-6, "other Entity" Under 23-15-1-5-, To Provide for Assumed Name, ., IN |
| Street Address |
2200 N SECTION ST |
| City | SULLIVAN |
| State | IN |
| Zip Code | 47882-7523 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154939320 | Sullivan County Community Hospital | Clinic/Center | 2200 N Section St, Sullivan, IN 47882-7523 | 2020-07-14 |
| 1760018691 | Holly M Clevenger | Social Worker | 2200 N Section St, Sullivan, IN 47882-7523 | 2020-03-23 |
| 1710479084 | Jessica A Dean-hester | Nurse Practitioner | 2200 N Section St, Sullivan, IN 47882-7523 | 2018-06-03 |
| 1902278476 | Jessica Myers | Nurse Practitioner | 2200 N Section St, Sullivan, IN 47882-7523 | 2015-10-23 |
| 1891193314 | Community Medical Imaging Inc | Radiology | 2200 N Section St, Sullivan, IN 47882-7523 | 2014-12-16 |
| 1154741296 | Mso Clinics, Inc. | Clinic/Center | 2200 N Section St, Sullivan, IN 47882-7523 | 2014-04-16 |
| 1063831527 | Mso Clinics, Inc. | Clinic/Center | 2200 N Section St, Sullivan, IN 47882-7523 | 2014-04-14 |
| 1518187012 | Angela Beth Sagarsee | Dietitian, Registered | 2200 N Section St, Sullivan, IN 47882-7523 | 2007-04-26 |
| 1104045871 | Traci Ann Ray | Dietitian, Registered | 2200 N Section St, Sullivan, IN 47882-7523 | 2007-04-24 |
| 1134343122 | R. Vedala and Associates, LLC | Radiology | 2200 N Section St, Sullivan, IN 47882-7523 | 2007-04-12 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659718336 | Neil Lynn Smith | Dentist | 118 S. Court St., Sullivan, IN 47882 | 2013-06-04 |
| 1184888000 | Mary Sherman Hospital | Hospice Care, Community Based | 817 North Section Street, Suite A, Sullivan, IN 47882 | 2008-07-10 |
| 1003838194 | Johnson Memorial Hospital | Durable Medical Equipment & Medical Supplies | 505 West Wolfe Street, Sullivan, IN 47882 | 2006-07-24 |
| 1255580593 | Daniel Choyce Callahan | Psychiatry & Neurology | 2204 N Section St, Sullivan, IN 47882 | 2008-09-11 |
| 1851394175 | Van Evanoff Jr. | Pain Medicine | 2204 N Section St, Suite B, Sullivan, IN 47882-0010 | 2005-05-31 |
| 1982780748 | Associated Physicians & Surgeons Clinic, LLC | Obstetrics & Gynecology | 2204 N Section St, Suite B, Sullivan, IN 47882-0010 | 2006-10-27 |
| 1871996199 | Sullivan Family Dentistry, LLC | Dentist | 2186 N Hospital Blvd., Suite 1, Sullivan, IN 47882-0468 | 2014-10-01 |
| 1487828455 | Kortni Reann Martindale | Speech-Language Pathologist | 368 W Indiana Ave, Sullivan, IN 47882-1117 | 2008-04-21 |
| 1831280585 | Southwest School Corporation | Local Education Agency (LEA) | 110 N Main St, Sullivan, IN 47882-1225 | 2006-09-27 |
| 1780717637 | Brian K Grindstaff | Chiropractor | 210 N Section St Unit C, Sullivan, IN 47882-1237 | 2007-03-13 |
| Find all providers in zip 47882 | ||||
| Taxonomy Code | 282NC0060X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| Specialization | Critical Access |
| Definition to come. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831343268 | Missouri Baptist Hospital Sullivan | General Acute Care Hospital | 751 Sappington Bridge Rd, Sullivan, MO 63080-2354 | 2008-11-12 |
| 1396755369 | Missouri Baptist Hospital of Sullivan | General Acute Care Hospital | 751 Sappington Bridge Rd, Sullivan, MO 63080-2354 | 2006-08-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871973032 | Franciscan Health Rensselaer, Inc. | General Acute Care Hospital | 4109 W State Road 10, Wheatfield, IN 46392-7008 | 2015-06-03 |
| 1831331800 | Richard L. Roudebush Va Medical Center | General Acute Care Hospital | 1816 Larkfield Ct Apt 563, Indianapolis, IN 46260-2562 | 2009-04-06 |
| 1104062462 | Advocate Illinois Masonic Medical Center | General Acute Care Hospital | 3632 Wirth Rd, Highland, IN 46322-2218 | 2008-12-16 |
| 1366528820 | Dannielle Christine Gilyan | General Acute Care Hospital | 2445 Directors Row Ste C, Indianapolis, IN 46241-4936 | 2006-10-27 |
| 1568417004 | Community Hospital of Bremen, Inc | General Acute Care Hospital | 1020 High Road, Bremen, IN 46506 | 2006-05-23 |
| 1811962228 | Jasper County Hospital | General Acute Care Hospital | 1104 E Grace St, Rensselaer, IN 47978-3211 | 2006-02-20 |
| 1154396604 | Scott County Memorial Hospital | General Acute Care Hospital | 1451 N Gardner St, Scottsburg, IN 47170-7751 | 2006-02-20 |
| 1871574822 | Indiana University Health Blackford Hospital Inc | General Acute Care Hospital | 410 Pilgrim Blvd, Hartford City, IN 47348-1382 | 2005-11-08 |
| 1548260284 | Indiana University Health Bedford, Inc | General Acute Care Hospital | 2900 W. 16th St, Bedford, IN 47421-3510 | 2005-07-22 |
| 1952300477 | Decatur County Memorial Hospital | General Acute Care Hospital | 720 N. Lincoln St, Greensburg, IN 47240-1398 | 2005-07-18 |
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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.