JASPER COUNTY HOSPITAL


Address: 1104 E Grace St, Rensselaer, IN 47978-3211
Phone: 2198665141

JASPER COUNTY HOSPITAL (NPI# 1811962228) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1811962228
Entity Type Organization
Organization Name JASPER COUNTY HOSPITAL
Practice Address 1104 E Grace St
Rensselaer
IN 47978-3211
Practice Telephone 2198665141
Practice Fax Number 2198663234
Mailing Telephone 2198665141
Mailing Fax Number 2198663234
Enumeration Date 2006-02-20
Last Update Date 2008-04-20
Authorized Official Name MR. JEFFREY D WEBB (VICE PRESIDENT OF FINANCIAL SERVICE)
Authorized Official Telephone 2198665141
Authorized Official Credential C.P.A.
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 282NC0060X General Acute Care Hospital
Specialization: Critical Access
05-005072-2 IN Hospitals

Other Provider Identifier

State Issuer Identifier Type Code
IN BLUE CROSS ID NUMBER 000000097884 01
IN 100269660A 05
FL 909962000 05
OH 0175224 05
IN 100269680A 05
IA 0564195 05
IN 200301560E 05
WI 80536700 05

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1982930483 Jasper County Hospital Non-Pharmacy Dispensing Site 520 S Halleck Street, Demotte, IN 46310-8630 2009-10-19
1457317786 Jasper County Hospital Nurse Practitioner 492 S Bierma St, Wheatfield, IN 46392 2006-04-25
1336306364 Jasper County Hospital General Acute Care Hospital 1104 E Grace St, Rensselaer, IN 47978-3296 2008-05-19
1871750802 Jasper County Hospital General Acute Care Hospital 1104 E Grace St, Rensselaer, IN 47978-3296 2008-05-19
1417029315 Jasper County Hospital General Acute Care Hospital 1104 E Grace St, Rensselaer, IN 47978-3211 2006-11-15
1730147141 Jasper County Hospital Hospice Care, Community Based 1104 E Grace St, Rensselaer, IN 47978-3211 2006-05-03
1902864325 Jasper County Hospital Non-Pharmacy Dispensing Site 1104 E Grace St, Rensselaer, IN 47978-3211 2006-05-03
1801853023 Jasper County Hospital Home Health 1104 E Grace St, Rensselaer, IN 47978-3211 2006-05-01
1114982253 Jasper County Hospital Nurse Practitioner 420 E Main St, Brook, IN 47922-8715 2006-04-20

Other Data Sources

Entity Type Entity Name Entity Address
Indiana Business Entities JASPER COUNTY HOSPITAL Formed Pursuant To Ic 16-22-8-6, "other Entity" Under 23-15-1-5-, To Provide for Assumed Name, ., IN

Office Location

Street Address 1104 E GRACE ST
City RENSSELAER
State IN
Zip Code 47978-3211

Providers in the same location

NPI Name Taxonomy Address Enumeration
1295207603 Nicole Sydney Krol Registered Nurse 1104 E Grace St, Rensselaer, IN 47978-3211 2018-12-24
1508232075 Franciscan Health Rensselaer, Inc. Medicare Defined Swing Bed Unit 1104 E Grace St, Rensselaer, IN 47978-3211 2015-08-19
1255711206 Franciscan Health Rensselaer, Inc. General Acute Care Hospital 1104 E Grace St, Rensselaer, IN 47978-3211 2015-06-04
1992185904 Franciscan Health Rensselaer, Inc. Hospice Care, Community Based 1104 E Grace St, Rensselaer, IN 47978-3211 2015-06-04
1326428335 Franciscan Health Rensselaer, Inc. Home Health 1104 E Grace St, Rensselaer, IN 47978-3211 2015-06-04
1932589173 Franciscan Health Rensselaer, Inc. General Acute Care Hospital 1104 E Grace St, Rensselaer, IN 47978-3211 2015-06-03
1912305392 Christine Nelms Physical Therapist 1104 E Grace St, Rensselaer, IN 47978-3211 2014-12-16
1972916997 Joseph Thomas Varnau Family Medicine 1104 E Grace St, Rensselaer, IN 47978 2014-06-06
1093133910 Cody Leo Rowland Occupational Therapist 1104 E Grace St, Jasper County Hospital, Rensselaer, IN 47978-3211 2014-03-29
1619313327 Nuria E Rosa Mercadal Internal Medicine 1104 E Grace St, Rensselaer, IN 47978-3211 2013-05-21
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1679710107 Gordon P. Bausman Dentist 210 N. Front St., Rensselaer, IN 47978 2009-01-21
1669534962 Stuart A Sandler Family Medicine 919 Grace Street, Rensselaer, IN 47978 2006-12-14
1225103146 Jerry Lynn Markley Chiropractor 311 Drexel Parkway, Suite # 1, Rensellaer, IN 47978 2006-11-24
1538262225 Hook Superx LLC Durable Medical Equipment & Medical Supplies 107 N Cullen St, Rensselaer, IN 47978 2006-09-07
1609477793 Donald Lowell Rusk Pharmacist Walmart, 905 S College Ave, Rensselaer, IN 47978 2020-11-04
1235689480 Jasper County After Hours Urgent Care Inc Clinic/Center 716 S College Ave, Rensselaer, IN 47978 2016-10-12
1407230501 Grainne O' Malley Internal Medicine 118 W Drexel Pkwy, Rensselaer, IN 47978 2015-07-17
1104197326 Julian Ungar-sargon Md Phd Pain Medicine 123 S Mckinley Ave, Rensselaer, IN 47978 2012-01-19
1053546226 Mary Jo Elkins Nurse Practitioner 919 E Grace St, Rensselaer, IN 47978 2009-05-18
1932308509 Deanna Lynn Hannon Chiropractor 1031 N Cullen St, Rensselaer, IN 47978-2007 2007-07-13
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Taxonomy Information

Taxonomy Code 282NC0060X
Grouping Hospitals
Classification General Acute Care Hospital
Specialization Critical Access

Taxonomy Definition

Definition to come.
Notes: [7/1/2003: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1255711206 Franciscan Health Rensselaer, Inc. General Acute Care Hospital 1104 E Grace St, Rensselaer, IN 47978-3211 2015-06-04
1932589173 Franciscan Health Rensselaer, Inc. General Acute Care Hospital 1104 E Grace St, Rensselaer, IN 47978-3211 2015-06-03
1336306364 Jasper County Hospital General Acute Care Hospital 1104 E Grace St, Rensselaer, IN 47978-3296 2008-05-19
1871750802 Jasper County Hospital General Acute Care Hospital 1104 E Grace St, Rensselaer, IN 47978-3296 2008-05-19
1417029315 Jasper County Hospital General Acute Care Hospital 1104 E Grace St, Rensselaer, IN 47978-3211 2006-11-15

Providers in the same taxonomy and state

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
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
1306844519 Union Hospital, Inc. General Acute Care Hospital 801 S Main St, Clinton, IN 47842-2261 2005-07-12
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Competitor

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City RENSSELAER
Zip Code 47978

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Dataset Information

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.

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