DEKALB MEMORIAL HOSPITAL, INC (NPI# 1508937376) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1508937376 |
Entity Type | Organization |
Organization Name | DEKALB MEMORIAL HOSPITAL, INC |
Other Organization Name | DEKALB HEALTH MEDICAL GROUP-GARRETT |
Practice Address |
128 N Randolph St Garrett IN 46738-1138 |
Mailing Address |
Po Box 623 Auburn IN 46706-0623 |
Practice Telephone | 2603576557 |
Practice Fax Number | 2603570373 |
Mailing Telephone | 2603576557 |
Mailing Fax Number | 2603570373 |
Enumeration Date | 2006-11-13 |
Last Update Date | 2012-01-12 |
Authorized Official Name | MS. PENNY LYNN GRIFFIN (BILLING COLLECTION MANAGER) |
Authorized Official Telephone | 2609202794 |
Authorized Official Credential | CPC |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
IN | 100104110E | 05 | |
IN | RAILROAD MEDICARE | CC4531 | 01 |
Other Name | Type Code |
---|---|
DEKALB HEALTH MEDICAL GROUP-GARRETT | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1497278824 | Dekalb Memorial Hospital, Inc | Family Medicine | 1314 E 7th St Ste 103, Auburn, IN 46706-2533 | 2017-07-18 |
1871972869 | Dekalb Memorial Hospital, Inc | Family Medicine | 1306 E 7th St, Suite B, Auburn, IN 46706-2537 | 2015-05-22 |
1467843599 | Dekalb Memorial Hospital, Inc | Family Medicine | 1310 E 7th St, Suite C, Auburn, IN 46706-2534 | 2015-02-11 |
1962804559 | Dekalb Memorial Hospital, Inc | Otolaryngology | 433 W High Street, Bryan, OH 43506-1679 | 2014-09-25 |
1346669546 | Dekalb Memorial Hospital, Inc | Otolaryngology | 208 Columbus St, Hicksville, OH 43526-1250 | 2014-04-15 |
1255768008 | Dekalb Memorial Hospital, Inc | Family Medicine | 1306 E 7th St, Suite A, Auburn, IN 46706-2536 | 2013-10-10 |
1548505597 | Dekalb Memorial Hospital, Inc | Surgery | 1316 E 7th St, Suite 1, Auburn, IN 46706-2538 | 2012-12-03 |
1073886560 | Dekalb Memorial Hospital, Inc | Otolaryngology | 1310 E 7th St, Suite G, Auburn, IN 46706-2534 | 2012-02-15 |
1366722415 | Dekalb Memorial Hospital, Inc | Family Medicine | 1314 E 7th St, Suite 101, Auburn, IN 46706-2535 | 2011-08-22 |
1053615187 | Dekalb Memorial Hospital, Inc | Family Medicine | 1314 E 7th St, Suite 201, Auburn, IN 46706-2533 | 2011-01-04 |
Street Address |
128 N RANDOLPH ST |
City | GARRETT |
State | IN |
Zip Code | 46738-1138 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1104808005 | Kristi A Morris | Nurse Practitioner | 128 N Randolph St, Garrett, IN 46738-1138 | 2005-11-16 |
1295985828 | Gretchen H Jenkins | Nurse Practitioner | 128 N Randolph St, Garrett, IN 46738-1138 | 2008-09-18 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1730305467 | Jane Ellen Dannhausen | Nurse Practitioner | 1359 S. Randolph St., Garrett, IN 46738 | 2007-04-18 |
1528479946 | Ma Umiya LLC | Pharmacy | 112 N Randolph St, Garrett, IN 46738-1138 | 2014-05-20 |
1922078062 | Bret D Kueber | Family Medicine | 128 N. Randolph Street, Garrett, IN 46738-1138 | 2006-01-23 |
1427004597 | T. Brett Mann | Dentist | 616 S Randolph St, Garrett, IN 46738-1458 | 2006-05-26 |
1346454717 | William H Schlemmer | Dentist | 125 S Randolph St, Garrett, IN 46738-1467 | 2007-05-09 |
1881246726 | Garrett Family Dentistry LLC | Dentist | 125 S Randolph St, Garrett, IN 46738-1467 | 2019-07-11 |
1215963962 | Garrett Pharmacare, LLC | Pharmacy | 100 S Randolph St, Garrett, IN 46738-1468 | 2006-06-24 |
1225307911 | David Mcclow | Social Worker | 513 S Lee St, Garrett, IN 46738-1578 | 2011-12-24 |
1952792517 | Element Care Group | Nurse Practitioner | 1810 Woodview Dr, Garrett, IN 46738-1865 | 2015-02-17 |
1235502154 | Raya Booth | Specialist/Technologist | 1711 Shagbark Ct, Garrett, IN 46738-1872 | 2015-11-02 |
Find all providers in zip 46738 |
Taxonomy Code | 207Q00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Family Medicine |
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1922078062 | Bret D Kueber | Family Medicine | 128 N. Randolph Street, Garrett, IN 46738-1138 | 2006-01-23 |
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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.