DECATUR COUNTY MEMORIAL HOSPITAL (NPI# 1619193505) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1619193505 |
Entity Type | Organization |
Organization Name | DECATUR COUNTY MEMORIAL HOSPITAL |
Other Organization Name | DECATUR COUNTY MEMORIAL HOSPITAL MEDICAL GROUP |
Practice Address |
720 N Lincoln St Greensburg IN 47240-1327 |
Practice Telephone | 8126634331 |
Practice Fax Number | 8126639738 |
Mailing Telephone | 8126634331 |
Mailing Fax Number | 8126639738 |
Enumeration Date | 2007-04-18 |
Last Update Date | 2017-05-01 |
Authorized Official Name | MICHAEL RUCKEL (VP OF FINANCE) |
Authorized Official Telephone | 8126634331 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 208D00000X | General Practice | 005057-1 | IN | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
IN | 100268720A | 05 |
Other Name | Type Code |
---|---|
Decatur County Memorial Hospital Medical Group | Doing Business As Name - Organization |
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 |
720 N LINCOLN ST |
City | GREENSBURG |
State | IN |
Zip Code | 47240-1327 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1528065273 | Kathleen S. Canfield | Emergency Medicine | 720 N Lincoln St, Greensburg, IN 47240-1327 | 2005-07-07 |
1083245740 | Nancy Ann Turner | Physical Therapist | 720 N Lincoln St, Greensburg, IN 47240-1327 | 2020-01-31 |
1073144739 | Holly Koors | Physical Therapist | 720 N Lincoln St, Greensburg, IN 47240-1327 | 2020-01-31 |
1528699345 | Rebecca Lynn Ricke | Speech-Language Pathologist | 720 N Lincoln St, Greensburg, IN 47240-1327 | 2020-01-30 |
1770114639 | Emily Kathleen Schmid | Physical Therapist | 720 N Lincoln St, Greensburg, IN 47240-1327 | 2020-01-30 |
1629609763 | Jennifer Meyer | Physical Therapist | 720 N Lincoln St, Greensburg, IN 47240-1398 | 2020-01-28 |
1912550203 | Amanda Claire Mang | Specialist/Technologist | 720 N Lincoln St, Greensburg, IN 47240-1398 | 2019-07-17 |
1831653971 | Gretchen E Harrison | Nurse Practitioner | 720 N Lincoln St, Greensburg, IN 47240-1327 | 2019-01-23 |
1801246475 | Emily Mcnulty | Nurse Practitioner | 720 N Lincoln St, Greensburg, IN 47240-1327 | 2016-06-15 |
1316307184 | Decatur County Memorial Hospital | Pharmacy | 720 N Lincoln St, Greensburg, IN 47240-1327 | 2016-03-07 |
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 | 208D00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | General Practice |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1760602064 | Nghia Van Tran | General Practice | 355 Harvey Ave, Greensburg, PA 15601-1911 | 2007-04-27 |
1831431030 | Great Plains of Kiowa Co Inc | General Practice | 721 W Kansas Ave, Greensburg, KS 67054-1633 | 2013-03-26 |
1598981391 | Nicole Suzanne Boersma | General Practice | 718 N Lincoln St, Greensburg, IN 47240-1348 | 2007-04-18 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1083235188 | Bonzer Medical, LLC | General Practice | 4423 S County Road 125 E, Greencastle, IN 46135-9237 | 2020-04-29 |
1851911945 | Regen 360 Indy LLC | General Practice | 70 E 91st St Ste 101, Indianapolis, IN 46240-1550 | 2020-04-20 |
1053946293 | Youhealth, Inc. | General Practice | 9515 Ledge Wood Ct, Fort Wayne, IN 46804-4701 | 2020-03-09 |
1194359240 | Mh Nursing of Indiana, PC | General Practice | 10090 Georgia St, Crown Point, IN 46307-6526 | 2020-02-27 |
1871130815 | Michael Staub | General Practice | 3263 S 3rd Pl, Terre Haute, IN 47802-3765 | 2019-12-10 |
1962055152 | Carehalo Ohio LLC | General Practice | 2510 Dupont Circle Dr., Suite 201, Fort Wayne, IN 46825 | 2019-07-17 |
1871074732 | Healthy Schools Indiana LLC | General Practice | 6605 E State Blvd Ste 9, Fort Wayne, IN 46815-7036 | 2018-08-28 |
1518445089 | Allied Wellness Group | General Practice | 8202 Clearvista Pkwy Ste 9f, Indianapolis, IN 46256-1457 | 2018-08-06 |
1114405008 | People Nurturing People, Inc | General Practice | 3640 Watson Rd, Indianapolis, IN 46205-3562 | 2018-08-01 |
1215433420 | Sean Andrew Koerner | General Practice | 9465 Counselors Row Ste 200, Indianapolis, IN 46240-3817 | 2018-04-05 |
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.