DECATUR COUNTY MEMORIAL HOSPITAL (NPI# 1598944381) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1598944381 |
Entity Type | Organization |
Organization Name | DECATUR COUNTY MEMORIAL HOSPITAL |
Practice Address |
955 N Michigan Ave Greensburg IN 47240-1487 |
Mailing Address |
720 N. Lincoln St Greensburg IN 47240-1398 |
Practice Telephone | 8126637277 |
Practice Fax Number | 8126627607 |
Mailing Telephone | 8126634331 |
Mailing Fax Number | 8126631299 |
Enumeration Date | 2007-10-29 |
Last Update Date | 2018-01-16 |
Authorized Official Name | REX MCKINNEY (PRESIDENT/CEO) |
Authorized Official Telephone | 8126634331 |
Is Organization Subpart | Y |
Parent Organization Name | DECATUR COUNTY MEMORIAL HOSPITAL |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 207Q00000X | Family Medicine | IN | Allopathic & Osteopathic Physicians | |
Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
IN | 100268720B | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1629698808 | Decatur County Memorial Hospital | Skilled Nursing Facility | 6712 Restoracy Drive, Whitestown, IN 46075-0089 | 2020-04-17 |
1275001489 | Decatur County Memorial Hospital | Clinic/Center | 955 N Michigan Ave Ste 2, Greensburg, IN 47240-1487 | 2018-11-06 |
1821512138 | Decatur County Memorial Hospital | Surgery | 731 N Lincoln St, Greensburg, IN 47240-1328 | 2017-07-28 |
1164599304 | Decatur County Memorial Hospital | Alzheimer Center (Dementia Center) | 18325 Bailey Ave, South Bend, IN 46637 | 2006-11-30 |
1346292737 | Decatur County Memorial Hospital | Skilled Nursing Facility | 353 Tyler Street, Gary, IN 46402-1149 | 2006-05-16 |
1295720365 | Decatur County Memorial Hospital | Skilled Nursing Facility | 950 N Lakeview Dr, Greensburg, IN 47240-3405 | 2005-09-15 |
1952300477 | Decatur County Memorial Hospital | General Acute Care Hospital | 720 N. Lincoln St, Greensburg, IN 47240-1398 | 2005-07-18 |
1295732188 | Decatur County Memorial Hospital | Clinic/Center | 718 N. Lincoln St, Greensburg, IN 47240-1348 | 2005-07-07 |
1124025010 | Decatur County Memorial Hospital | Home Health | 955 N. Michigan St., Greensburg, IN 47240-1327 | 2005-07-07 |
1629588181 | Decatur County Memorial Hospital | Nursing Facility/Intermediate Care Facility | 3640 Central Ave, Indianapolis, IN 46205-3569 | 2017-10-10 |
Entity Type | Entity Name | Entity Address |
---|---|---|
System for Award Management (SAM) Entities | DECATUR COUNTY MEMORIAL HOSPITAL | 720 N Lincoln St, Greensburg, IN 47240-1327 |
Indiana Business Entities | DECATUR COUNTY MEMORIAL HOSPITAL | Formed Pursuant To Ic 16-22-8-6, "other Entity" Under 23-15-1-5-, To Provide for Assumed Name, ., |
Street Address |
955 N MICHIGAN AVE |
City | GREENSBURG |
State | IN |
Zip Code | 47240-1487 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1407855943 | Mary Rose Mccullough | Family Medicine | 955 N Michigan Ave, Greensburg, IN 47240-1487 | 2005-07-18 |
1609486893 | Karen Gerri Raver | Nurse Practitioner | 955 N Michigan Ave, Greensburg, IN 47240-1487 | 2020-08-03 |
1407481948 | Desirae Moore | Social Worker | 955 N Michigan Ave, Greensburg, IN 47240-1487 | 2020-03-05 |
1699250720 | Laura J Krall | Nurse Practitioner | 955 N Michigan Ave, Greensburg, IN 47240-1487 | 2018-09-25 |
1316451701 | Jill Marie Prickel | Nurse Practitioner | 955 N Michigan Ave, Greensburg, IN 47240-1487 | 2017-11-22 |
1730620436 | Samantha Ann Stegman | Nurse Practitioner | 955 N Michigan Ave, Greensburg, IN 47240-1487 | 2017-03-14 |
1952776338 | Decatur County Memorial Hospital | Clinic/Center | 955 N Michigan Ave, Greensburg, IN 47240-1487 | 2015-12-10 |
1689072613 | Forefront Dermatology, S.c. | Dermatology | 955 N Michigan Ave, Suite 81, Greensburg, IN 47240 | 2014-12-08 |
1811392483 | Suzanne Elizabeth Johannigman | Nurse Practitioner | 955 N Michigan Ave, Greensburg, IN 47240-1487 | 2014-10-25 |
1003230145 | Jill Koors | Nurse Practitioner | 955 N Michigan Ave, Suite 83, Greensburg, IN 47240-1487 | 2014-02-10 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1710596135 | Daniel Joseph Jennings | Physician Assistant | 545 Nw Santee Drive, Greensbrug, IN 47240 | 2020-07-31 |
1245694413 | Accudoc Inc PC | Family Medicine | 2311 N St Rd 3, Greensburg, IN 47240 | 2016-04-13 |
1679848832 | Kati Rose Huffman | Physical Therapy Assistant | 950 North Lakeview Drive, Greensburg, IN 47240 | 2012-03-20 |
1588931786 | Tracy Springmeyer | Pharmacist | 2215 North State Road 3, Greensburg, IN 47240 | 2011-11-17 |
1720360175 | Callie Tamm | Pharmacist | 2215 North State Road Three, Greensburg, IN 47240 | 2011-09-12 |
1447457742 | Total Renal Care Inc | Clinic/Center | 1531 N Commerce East Dr Ste 6, Greensburg, IN 47240 | 2007-06-29 |
1508084237 | Johanna Dawn Painter | Speech-Language Pathologist | 7782 W. State Rd 46, Greensburg, IN 47240 | 2007-04-20 |
1083759617 | Kederick A Meyers | Family Medicine | 955 N Michigan Avenue, Greensburg, IN 47240 | 2007-02-21 |
1275615213 | David Charles Harp | Chiropractor | 1570 Commerce Dr West, Suite 3, Greensburg, IN 47240 | 2006-10-19 |
1750475604 | Carrie Ann Schlotter | Optometrist | 1204 N Lincoln St, Greensburg, IN 47240 | 2006-10-03 |
Find all providers in zip 47240 |
Taxonomy Code | 261QR1300X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Rural Health |
Definition to come... |
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1003865619 | St. Helena Parish Hospital | Clinic/Center | 19 N 1st St, Greensburg, LA 70441-0059 | 2006-05-09 |
1891761300 | Jane Todd Crawford Memorial Hospital, Inc. | Clinic/Center | 704 Columbia Hwy, Greensburg, KY 42743-1118 | 2006-02-24 |
1992312664 | Kiowa County Memorial Hospital | Clinic/Center | 721 W Kansas Ave, Greensburg, KS 67054-1633 | 2020-09-28 |
1912358011 | T J Health Columbia Inc | Clinic/Center | 603 Columbia Hwy, Greensburg, KY 42743-1115 | 2016-06-29 |
1952776338 | Decatur County Memorial Hospital | Clinic/Center | 955 N Michigan Ave, Greensburg, IN 47240-1487 | 2015-12-10 |
1740655299 | Decatur County Memorial Hospital | Clinic/Center | 718 N Lincoln St, Ste A, Greensburg, IN 47240-1348 | 2015-12-09 |
1659506590 | Taylor Regional Hospital Urgent Care Center, LLC | Clinic/Center | 1911 Campbellsville Rd, Greensburg, KY 42743-7758 | 2009-05-21 |
1417901927 | Great Plains of Kiowa Co Inc | Clinic/Center | 721 W Kansas Ave, Greensburg, KS 67054-1633 | 2006-05-20 |
1144296658 | Jane Todd Crawford Memorial Hospital, Inc. | Clinic/Center | 310 Industrial Park Rd, Greensburg, KY 42743-1429 | 2006-02-24 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1679182190 | Indiana University Health Paoli Inc | Clinic/Center | 560 W. Longest Street, Paoli, IN 47454-9670 | 2020-07-30 |
1255965083 | True Healthcare Partner LLC | Clinic/Center | 104 North Webster Street, Saint Paul, IN 47272-9435 | 2020-03-02 |
1659935781 | Rush Memorial Hospital | Clinic/Center | 201 Conrad Harcourt Way Ste A, Rushville, IN 46173-1157 | 2019-04-24 |
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 |
City | GREENSBURG |
Zip Code | 47240 |
Please comment or provide details below to improve the information on DECATUR COUNTY MEMORIAL HOSPITAL.
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.