LITTLE COMPANY OF MARY HOSPITAL OF INDIANA, INC (NPI# 1740360700) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740360700 |
| Entity Type | Organization |
| Organization Name | LITTLE COMPANY OF MARY HOSPITAL OF INDIANA, INC |
| Other Organization Name | LOOGOOTEE FAMILY MEDICINE |
| Practice Address |
105 Cooper St Loogootee IN 47553 |
| Mailing Address |
Po Box 1028 Jasper IN 47547-1028 |
| Practice Telephone | 8122952812 |
| Practice Fax Number | 8122953726 |
| Mailing Telephone | 8129968478 |
| Enumeration Date | 2006-10-16 |
| Last Update Date | 2018-07-17 |
| Authorized Official Name | EDWARD KYLE BENNETT (PRESIDENT, CEO) |
| Authorized Official Telephone | 8129960507 |
| Is Organization Subpart | Y |
| Parent Organization Name | LITTLE COMPANY OF MARY HOSPITAL OF INDIANA, INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QR1300X |
Clinic/Center Specialization: Rural Health |
Ambulatory Health Care Facilities | ||
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 200048850E | 05 | |
| IN | RAILROAD MEDICARE | CB3118 | 01 |
| Other Name | Type Code |
|---|---|
| Loogootee Family Medicine | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558443077 | Little Company of Mary Hospital of Indiana, Inc | Family Medicine | 229 High St, Shoals, IN 47581-5501 | 2006-10-20 |
| 1689770083 | Little Company of Mary Hospital of Indiana, Inc | Clinic/Center | 1003 E Illinois St, Petersburg, IN 47567 | 2006-09-15 |
| 1225080963 | Little Company of Mary Hospital of Indiana, Inc | Pharmacy | 800 W. 9th St, Jasper, IN 47546-2514 | 2006-05-17 |
| 1538342522 | Little Company of Mary Hospital of Indiana, Inc | Internal Medicine | 721 W 13th St, Suite 102, Jasper, IN 47546-1855 | 2007-12-12 |
| 1508054206 | Little Company of Mary Hospital of Indiana, Inc | Surgery | 407 E 22nd St, Huntingburg, IN 47542-8964 | 2007-10-09 |
| 1326123910 | Little Company of Mary Hospital of Indiana, Inc | Psychiatry & Neurology | 721 W 13th St, Suite 221, Jasper, IN 47546-1855 | 2006-10-25 |
| 1700966777 | Little Company of Mary Hospital of Indiana, Inc | Family Medicine | 115 S Main St, Ferdinand, IN 47532-9534 | 2006-10-16 |
| 1518076397 | Little Company of Mary Hospital of Indiana, Inc | Family Medicine | 1025 1st Ave W, Jasper, IN 47546-3217 | 2006-08-29 |
| 1396768537 | Little Company of Mary Hospital of Indiana, Inc | Anesthesiology | 800 W 9th St, Jasper, IN 47546-2514 | 2006-07-26 |
| 1861420689 | Little Company of Mary Hospital of Indiana, Inc | Psychologist | 721 W 13th St, Suite 101, Jasper, IN 47546-1855 | 2006-06-29 |
| Street Address |
105 COOPER ST |
| City | LOOGOOTEE |
| State | IN |
| Zip Code | 47553 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770670440 | James P Poirier | Family Medicine | 105 Cooper St, Loogootee, IN 47553-2223 | 2006-10-06 |
| 1528156007 | Cynthia L Hock | Nurse Practitioner | 105 Cooper St, Loogootee, IN 47553-2223 | 2006-10-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376105437 | Lindsey Brooke Gingerich | Occupational Therapist | 7231 Bledsoe Ln, Loogootee, IN 47553 | 2019-06-28 |
| 1457649857 | Divine Chiropractic LLC | Preferred Provider Organization | 404 North John F Kennedy Avenue, Loogootee, IN 47553 | 2011-07-19 |
| 1013010735 | Hook Superx LLC | Durable Medical Equipment & Medical Supplies | 402 W Broadway, Loogootee, IN 47553 | 2006-09-07 |
| 1053398644 | Maureen Gutgsell | Pharmacist | Us Hwy 231 South, Loogootee, IN 47553 | 2005-12-27 |
| 1043762842 | Erin Louise Burns | Speech-Language Pathologist | 1 Loogootee Plaza, Loogootee, IN 47553 | 2016-10-27 |
| 1629135181 | Benoni Willard Asdell | Dentist | 229 J F Kennedy Ave, Loogootee, IN 47553-0172 | 2007-01-03 |
| 1356376594 | Philip J Sewell | Chiropractor | 1102 W Broadway, Loogootee, IN 47553-0455 | 2006-07-12 |
| 1992959852 | Philip J. Sewell, D.c. | Chiropractor | 1102 W Broadway, Loogootee, IN 47553-0455 | 2008-11-05 |
| 1912040106 | Jennifer Ann Bailey | Speech-Language Pathologist | 103 Bel Air Dr, Loogootee, IN 47553-1101 | 2007-02-15 |
| 1902924285 | Normal Life of Indiana | Intermediate Care Facility, Mentally Retarded | 305 Ne 3rd St, Loogootee, IN 47553-1208 | 2007-03-26 |
| Find all providers in zip 47553 | ||||
| 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 |
|---|---|---|---|---|
| 1861027641 | Megan Chloe Nonte | Family Medicine | 837 Bellbrook Rd, Loogootee, IN 47553-4612 | 2020-03-11 |
| 1770670440 | James P Poirier | Family Medicine | 105 Cooper St, Loogootee, IN 47553-2223 | 2006-10-06 |
| 1710089958 | David M Nibel | Family Medicine | 12546 E Us Highway 50, Loogootee, IN 47553-5220 | 2006-09-01 |
| 1205891744 | Agnes C Bacala | Family Medicine | 12546 E Us Highway 50, Loogootee, IN 47553-5220 | 2006-04-18 |
| 1417925165 | Larry W Sutton | Family Medicine | 12546 E Us Highway 50, Loogootee, IN 47553-5220 | 2006-03-09 |
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| 1386252757 | Eventus Wholehealth Midwest Inc | Family Medicine | 2100 Midway St # 3722, Columbus, IN 47201-3722 | 2020-07-21 |
| 1770105801 | My Metabolism | Family Medicine | 14342 W Prevail Dr, Carmel, IN 46033-7004 | 2020-05-12 |
| 1104452200 | Little Company of Mary Hospital of Indiana Inc | Family Medicine | 695 W 2nd St Ste D, Jasper, IN 47546-3240 | 2020-03-20 |
| 1578199345 | Stephanie Anne Dill | Family Medicine | 1101 Michigan Address, Logansport, IN 46947 | 2020-03-12 |
| 1477192151 | Debra Susan Hayes | Family Medicine | 455 W Industrial Dr, Terre Haute, IN 47802-9266 | 2019-12-30 |
| 1134765993 | Basil Vareldzis | Family Medicine | 9125 Nautical Watch Dr, Indianapolis, IN 46236-9036 | 2019-11-26 |
| 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.