JASPER COUNTY HOSPITAL (NPI# 1902864325) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902864325 |
| Entity Type | Organization |
| Organization Name | JASPER COUNTY HOSPITAL |
| Other Organization Name | JASPER COUNTY HOSPITAL HOME MEDICAL EQUIPMENT |
| 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 | 2006-05-03 |
| Last Update Date | 2009-10-29 |
| 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 |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332900000X | Non-Pharmacy Dispensing Site | 05-005072-2 | IN | Suppliers |
| N | 332BP3500X |
Durable Medical Equipment & Medical Supplies Specialization: Parenteral & Enteral Nutrition |
05-005072-2 | IN | Suppliers |
| N | 335E00000X | Prosthetic/Orthotic Supplier | 05-005072-2 | IN | Suppliers |
| N | 332BN1400X |
Durable Medical Equipment & Medical Supplies Specialization: Nursing Facility Supplies |
05-005072-2 | IN | Suppliers |
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | 05-005072-2 | IN | Suppliers |
| Y | 332BX2000X |
Durable Medical Equipment & Medical Supplies Specialization: Oxygen Equipment & Supplies |
05-005072- | IN | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | ARNETT | 11821 | 01 |
| IN | 100264290A | 05 | |
| IN | OFFICE OF WORKMANS COMP | 128886900 | 01 |
| IN | 100143100A | 05 | |
| IN | BLUE CROSS | 000000097206 | 01 |
| Other Name | Type Code |
|---|---|
| Jasper County Hospital Home Medical Equipment | Doing Business As Name - Organization |
| 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 |
| 1811962228 | Jasper County Hospital | General Acute Care Hospital | 1104 E Grace St, Rensselaer, IN 47978-3211 | 2006-02-20 |
| 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 |
| 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 |
| 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 |
| Street Address |
1104 E GRACE ST |
| City | RENSSELAER |
| State | IN |
| Zip Code | 47978-3211 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811962228 | Jasper County Hospital | General Acute Care Hospital | 1104 E Grace St, Rensselaer, IN 47978-3211 | 2006-02-20 |
| 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 |
| Find all providers in the same location | ||||
| 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 |
| Find all providers in zip 47978 | ||||
| Taxonomy Code | 332BX2000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| Specialization | Oxygen Equipment & Supplies |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114533502 | Premier Home Care, Inc. | Durable Medical Equipment & Medical Supplies | 1040 2nd St Ste A, Columbus, IN 47201-6810 | 2020-09-21 |
| 1174135685 | Medical Service Companies | Durable Medical Equipment & Medical Supplies | 9921 Dupont Circle Dr W Ste 145, Fort Wayne, IN 46825-1614 | 2020-08-18 |
| 1841754363 | Respiratory Partner | Durable Medical Equipment & Medical Supplies | 2461 Directors Row Ste E, Indianapolis, IN 46241-4937 | 2019-01-29 |
| 1477046514 | Medical Service Companies | Durable Medical Equipment & Medical Supplies | 7173 E 87th St, Indianapolis, IN 46256-1204 | 2018-06-13 |
| 1487147526 | Medical Service Companies | Durable Medical Equipment & Medical Supplies | 2330 S Dixon Rd # 315, Kokomo, IN 46902-6411 | 2018-06-13 |
| 1740779750 | Medical Service Companies | Durable Medical Equipment & Medical Supplies | 8402 Harcourt Rd Ste 108, Indianapolis, IN 46260-2006 | 2018-05-04 |
| 1679072755 | At Home Health Equipment, LLC | Durable Medical Equipment & Medical Supplies | 2432 Lake Circle Dr, Indianapolis, IN 46268-4219 | 2018-02-05 |
| 1538668843 | Aeratech Medical Inc | Durable Medical Equipment & Medical Supplies | 5355 W Minnesota St, Indianapolis, IN 46241-3817 | 2018-02-02 |
| 1871042838 | Breathe Easy Solutions LLC | Durable Medical Equipment & Medical Supplies | 502 S 3rd St, Terre Haute, IN 47807-4604 | 2016-09-30 |
| 1043683568 | Village Apothecary At Williamsburg | Durable Medical Equipment & Medical Supplies | 1609 Lafayette Rd Rm 23, Crawfordsville, IN 47933-1032 | 2015-11-05 |
| Find all providers with the same taxonomy | ||||
| City | RENSSELAER |
| Zip Code | 47978 |
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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.