DEKALB MEMORIAL HOSPITAL INC (NPI# 1902897937) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1902897937 |
Entity Type | Organization |
Organization Name | DEKALB MEMORIAL HOSPITAL INC |
Other Organization Name | PARKVIEW DEKALB HOSPITAL |
Practice Address |
1316 E 7th St Auburn IN 46706-2523 |
Mailing Address |
Po Box 583 Auburn IN 46706-0583 |
Practice Telephone | 2609254600 |
Practice Fax Number | 2609254733 |
Mailing Telephone | 2609254600 |
Mailing Fax Number | 2609254733 |
Enumeration Date | 2005-10-31 |
Last Update Date | 2019-11-11 |
Authorized Official Name | BRET CLAGHORN (VP FINANCE) |
Authorized Official Telephone | 2609275012 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 3416L0300X |
Ambulance Specialization: Land Transport |
Transportation Services | ||
N | 207Y00000X | Otolaryngology | 01039551A | IN | Allopathic & Osteopathic Physicians |
N | 231H00000X | Audiologist | 23002422A | IN | Speech, Language and Hearing Service Providers |
N | 3336I0012X |
Pharmacy Specialization: Institutional Pharmacy |
60000349A | IN | Suppliers |
Y | 282N00000X | General Acute Care Hospital | 10-005041-1 | IN | Hospitals |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NCPDP PROVIDER IDENTIFICATION NUMBER | 1562518 | 01 | |
IN | 100287120A | 05 | |
IN | BLUE CROSS | 000000097746 | 01 |
IN | 100269460A | 05 |
Other Name | Type Code |
---|---|
DeKalb Health | Doing Business As Name - Organization |
Parkview Dekalb Hospital | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1780117200 | Dekalb Memorial Hospital Inc | Family Medicine | 1061 Smaltz Way, Auburn, IN 46706-9599 | 2017-04-11 |
1033114418 | Dekalb Memorial Hospital Inc | Home Health | 400 Erie Pass, Auburn, IN 46706-0000 | 2005-06-14 |
1497292452 | Dekalb Memorial Hospital Inc | Family Medicine | 400 Erie Pass, Auburn, IN 46706-2523 | 2017-01-27 |
1255875712 | Dekalb Memorial Hospital Inc | Audiologist | 1310 E 7th St, Ste B, Auburn, IN 46706-2534 | 2016-12-16 |
1295730919 | Dekalb Memorial Hospital Inc | Hospice Care, Community Based | 400 Erie Pass, Auburn, IN 46706-0000 | 2005-06-17 |
Street Address |
1316 E 7TH ST |
City | AUBURN |
State | IN |
Zip Code | 46706-2523 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1073515128 | Larson F Langschwager | Obstetrics & Gynecology | 1316 E 7th St, Suite 3, Auburn, IN 46706-2538 | 2005-06-01 |
1134607807 | Timothy Joseph Fath | Pharmacist | 1316 E 7th St, Auburn, IN 46706-2538 | 2018-08-03 |
1003393232 | Shirley Kisor | Pharmacist | 1316 E 7th St, Auburn, IN 46706-2538 | 2018-07-20 |
1225524648 | Bethany Heileman | Pharmacist | 1316 E 7th St, Auburn, IN 46706-2538 | 2018-07-09 |
1649720301 | Associated Surgeons and Physicians, LLC | Podiatrist | 1316 E 7th St, Suite E, Auburn, IN 46706-2538 | 2016-10-06 |
1457796674 | Ajiru S Nyambwa | Emergency Medicine | 1316 E 7th St, Auburn, IN 46706-2538 | 2013-05-01 |
1598001497 | Dekalb Health | General Acute Care Hospital | 1316 E 7th St, Auburn, IN 46706-2538 | 2012-12-20 |
1548505597 | Dekalb Memorial Hospital, Inc | Surgery | 1316 E 7th St, Suite 1, Auburn, IN 46706-2538 | 2012-12-03 |
1205190345 | April Dawn Middaugh | Occupational Therapy Assistant | 1316 E 7th St, Rehab Dept., Auburn, IN 46706-2523 | 2012-07-03 |
1821374414 | Errin Lyn Ritter | Physical Therapy Assistant | 1316 E 7th St, Auburn, IN 46706-2523 | 2011-10-26 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1942843701 | Lara Maria Lahr | Advanced Practice Midwife | Auburn Ob/gyn, 1316 East 7th Street Suite 2, Auburn, IN 46706 | 2019-10-24 |
1982180501 | Kersten L. Weigle | Nurse Practitioner | 1310 E 7th St Ste F, Auburn, IN 46706 | 2018-07-17 |
1902267057 | Crystal Nicole Kennedy | Nurse Practitioner | 1306 E 7th St#c, Auburn, IN 46706 | 2016-03-17 |
1902264203 | Andrew Delagrange | Student in an Organized Health Care Education/Training Program | 1021 Eckhart Avenue, Auburn, IN 46706 | 2016-02-02 |
1164839007 | Morgan Ariel Buchs | Physical Therapist | 353 N. Grandstaff Dr., Auburn, IN 46706 | 2014-07-11 |
1407139546 | Stacy Marie Smith | Registered Nurse | 1310 E 7th St., Ste J, Auburn, IN 46706 | 2011-09-26 |
1518262807 | Kori B Engdahl | Advanced Practice Midwife | 1310 East 7th Street, Suite M, Auburn, IN 46706 | 2011-01-18 |
1588986541 | Jack Phillip Covell | General Practice | 5631 Co Rd 29, Auburn, IN 46706 | 2010-02-18 |
1396914271 | Midwest Eye Consultants, P.C. | Optometrist | 750 N. Grandstaff Dr., Auburn, IN 46706 | 2008-02-26 |
1700077013 | Tyler Elliott Helm | Physical Therapist | 510 N. Grandstaff Dr., Auburn, IN 46706 | 2007-08-05 |
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Taxonomy Code | 282N00000X |
Grouping | Hospitals |
Classification | General Acute Care Hospital |
An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1093712911 | Auburn Community Hospital | General Acute Care Hospital | 17 Lansing St, Auburn, NY 13021-1983 | 2005-07-07 |
1598001497 | Dekalb Health | General Acute Care Hospital | 1316 E 7th St, Auburn, IN 46706-2538 | 2012-12-20 |
1578680187 | East Alabama Medical Center | General Acute Care Hospital | 665 Opelika Rd, Auburn, AL 36830-4013 | 2007-03-26 |
1578630182 | Auburn Memorial Hospital | General Acute Care Hospital | 17 Lansing St, Auburn, NY 13021-1983 | 2006-11-29 |
1194774299 | Sutter Valley Hospitals | General Acute Care Hospital | 11815 Education St, Auburn, CA 95602-2410 | 2006-05-08 |
1255327201 | Multicare Health System | General Acute Care Hospital | 202 N Division St, Auburn, WA 98001-4939 | 2005-09-26 |
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1881177756 | Memorial Hospital of South Bend | General Acute Care Hospital | 3220 Beacon Parkway, Granger, IN 46530 | 2018-09-07 |
1417482092 | Bloomington Hosptial | General Acute Care Hospital | 3630 S Mcdougal St, Bloomington, IN 47403-4675 | 2017-04-20 |
1851833230 | St. Vincent Hospital & Health Care Center, Inc. | General Acute Care Hospital | 9613 E Us Highway 36, Avon, IN 46123-7978 | 2016-11-16 |
1306291265 | Teal Murphy | General Acute Care Hospital | 10701 S 400 W, Columbus, IN 47201-9339 | 2016-04-28 |
1497119242 | Iu Health | General Acute Care Hospital | 5707 Brockton Dr Apt 307, Indianapolis, IN 46220-5481 | 2016-04-07 |
1487016549 | Johnson Memorial Hospital | General Acute Care Hospital | 214 Crenshaw Dr, Saint Paul, IN 47272-9435 | 2016-03-27 |
1164806444 | Monroe Hosoital | General Acute Care Hospital | 4011 Monroe Medical Park, Bloomington, IN 47403 | 2015-07-16 |
1740686443 | Prime Healthcare Services - Monroe LLC | General Acute Care Hospital | 4011 S Monroe Med Park Blvd, Bloomington, IN 47403-8000 | 2014-11-07 |
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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.