CRITICAL ACCESS HEALTH SERVICES CORP. (NPI# 1821223439) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1821223439 |
Entity Type | Organization |
Organization Name | CRITICAL ACCESS HEALTH SERVICES CORP. |
Other Organization Name | WASHINGTON COUNTY MEMORIAL HOSPITAL |
Practice Address |
911 N Shelby St Salem IN 47167-2304 |
Practice Telephone | 8128838550 |
Mailing Telephone | 8128838550 |
Enumeration Date | 2009-05-27 |
Last Update Date | 2009-10-02 |
Authorized Official Name | MR. JOSEPH E. ROCHE (CHIEF EXECUTIVE OFFICER) |
Authorized Official Telephone | 8128838550 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 275N00000X | Medicare Defined Swing Bed Unit | Hospital Units | ||
N | 3416L0300X |
Ambulance Specialization: Land Transport |
Transportation Services | ||
N | 207L00000X | Anesthesiology | Allopathic & Osteopathic Physicians | ||
N | 207P00000X | Emergency Medicine | Allopathic & Osteopathic Physicians | ||
N | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians | ||
N | 207V00000X | Obstetrics & Gynecology | Allopathic & Osteopathic Physicians | ||
N | 207X00000X | Orthopaedic Surgery | Allopathic & Osteopathic Physicians | ||
N | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
Allopathic & Osteopathic Physicians | ||
Y | 282NC0060X |
General Acute Care Hospital Specialization: Critical Access |
IN | Hospitals |
State | Issuer | Identifier | Type Code |
---|---|---|---|
IN | 200948660 | 05 |
Other Name | Type Code |
---|---|
Washington County Memorial Hospital | Doing Business As Name - Organization |
Street Address |
911 N SHELBY ST |
City | SALEM |
State | IN |
Zip Code | 47167-2304 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1518959998 | Patricia Reed Tate | Dermatology | 911 N Shelby St, Salem, IN 47167-2304 | 2005-08-22 |
1619422466 | Kristen Michelle Hinte | Physician Assistant | 911 N Shelby St, Salem, IN 47167-2304 | 2016-08-22 |
1326451113 | Mid America Clinical Laboratories, LLC | Clinical Medical Laboratory | 911 N Shelby St, Salem, IN 47167-2304 | 2014-06-09 |
1164856498 | Indiana Emergency Physicians, LLP | Emergency Medicine | 911 N Shelby St, Salem, IN 47167-2304 | 2013-08-22 |
1194082370 | First Urology, Psc | Urology | 911 N Shelby St, Salem, IN 47167-2304 | 2012-04-12 |
1033408257 | Indiana Physician Management-salem, LLC | Emergency Medicine | 911 N Shelby St, Salem, IN 47167-2304 | 2011-03-29 |
1245560705 | St Vincent Salem Hospital Inc | Medicare Defined Swing Bed Unit | 911 N Shelby St, Salem, IN 47167-2304 | 2010-01-06 |
1427388982 | St Vincent Salem Hospital Inc | General Acute Care Hospital | 911 N Shelby St, Salem, IN 47167-2304 | 2010-01-06 |
1568799732 | St. Vincent Salem Hospital, Inc | Internal Medicine | 911 N Shelby St, Salem, IN 47167-2304 | 2009-11-10 |
1497987259 | Washington County Emergency Medical Services, Inc. | Ambulance | 911 N Shelby St, Salem, IN 47167-2304 | 2009-08-12 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1679951792 | Forefront Dermatology, S.c. | Dermatology | 911 N Shelby Street, St. Vincent Salem Hospital, Specialty Clinic, Salem, IN 47167 | 2015-05-08 |
1407188162 | Sheila Belamour | Physical Therapy Assistant | 900 Anson Street, Salem, IN 47167 | 2010-02-05 |
1598988834 | Blue River Services, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 118 N. Nichols Ave., Salem, IN 47167 | 2007-04-11 |
1740303973 | Blue River Services, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 75 E. Oak Dr, Salem, IN 47167 | 2007-04-10 |
1689709594 | Renal Treatment Centers Illinois Inc | Clinic/Center | 1201 N Jim Day Road, Ste 103, Salem, IN 47167 | 2007-02-22 |
1780738161 | Martin F Kennedy Dds PC | Dentist | 1600 S State Rd 135, Salem, IN 47167 | 2007-01-22 |
1114079449 | Gene F Hedrick Dds PC | Dentist | 100 North Harrison Street, Salem, IN 47167 | 2007-01-17 |
1689626038 | Kristen Ingram | Family Medicine | 1002 N Shelby St Ste 1004, Salem, IN 47167 | 2006-05-16 |
1952825564 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 803 S Main St, Salem, IN 47167 | 2017-07-26 |
1558770370 | Ashlee Austin | Occupational Therapist | 900 Anson St, Salem, IN 47167 | 2014-08-06 |
Find all providers in zip 47167 |
Taxonomy Code | 282NC0060X |
Grouping | Hospitals |
Classification | General Acute Care Hospital |
Specialization | Critical Access |
Definition to come. |
Notes: [7/1/2003: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1235316092 | Department of Veterans Affairs | General Acute Care Hospital | 13 S College Ave, Salem, VA 24153-3833 | 2008-01-23 |
1639177561 | Salem Memorial Hospital | General Acute Care Hospital | 35629 Highway 72, Salem, MO 65560-7217 | 2005-07-13 |
1427388982 | St Vincent Salem Hospital Inc | General Acute Care Hospital | 911 N Shelby St, Salem, IN 47167-2304 | 2010-01-06 |
1750429742 | Salem Township Hospital | General Acute Care Hospital | 1201 Ricker Rd, Salem, IL 62881-4263 | 2007-02-02 |
1336227750 | Fulton County Hospital | General Acute Care Hospital | 679 North Main, Salem, AR 72576 | 2006-11-02 |
1578640611 | Fulton County Hospital | General Acute Care Hospital | 679 North Main, Salem, AR 72576 | 2006-11-01 |
1427135466 | Fulton County Hospital | General Acute Care Hospital | 679 North Main, Salem, AR 72576 | 2006-11-01 |
1265407001 | Fulton County Hospital | General Acute Care Hospital | 679 N Main St, Salem, AR 72576-9451 | 2006-02-22 |
1376529081 | Livingston Hospital and Healthcare Services, Inc. Cah | General Acute Care Hospital | 131 Hospital Dr, Salem, KY 42078-8043 | 2005-12-15 |
1588640254 | Livingston Hospital and Healthcare Services, Inc. | General Acute Care Hospital | 131 Hospital Dr, Salem, KY 42078-8043 | 2005-12-15 |
Find all providers in SALEM |
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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.