LITTLE COMPANY OF MARY HOSPITAL OF INDIANA INC (NPI# 1962857813) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962857813 |
| Entity Type | Organization |
| Organization Name | LITTLE COMPANY OF MARY HOSPITAL OF INDIANA INC |
| Other Organization Name | WORKWELL - SANTA CLAUS |
| Practice Address |
3644 E County Road 1600 N Lincoln City IN 47552-9662 |
| Mailing Address |
Po Box 1028 Jasper IN 47547-1028 |
| Practice Telephone | 8129376021 |
| Mailing Telephone | 8129968478 |
| Enumeration Date | 2016-04-28 |
| Last Update Date | 2016-04-28 |
| 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 | 363L00000X | Nurse Practitioner | Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| WorkWell - Santa Claus | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053920314 | Little Company of Mary Hospital of Indiana Inc | Surgery | 1025 1st Ave W Ste B, Jasper, IN 47546-3217 | 2020-07-23 |
| 1104452200 | Little Company of Mary Hospital of Indiana Inc | Family Medicine | 695 W 2nd St Ste D, Jasper, IN 47546-3240 | 2020-03-20 |
| 1730712670 | Little Company of Mary Hospital of Indiana Inc | Psychiatry & Neurology | 600 W 13th St Ste 205, Jasper, IN 47546-1883 | 2020-02-19 |
| 1306323597 | Little Company of Mary Hospital of Indiana Inc | Family Medicine | 966 Bartley Street, Jasper, IN 47546-2641 | 2018-07-20 |
| 1730420829 | Little Company of Mary Hospital of Indiana Inc | Family Medicine | 5066 N 900 E, Montgomery, IN 47558-5790 | 2013-03-14 |
| 1821353814 | Little Company of Mary Hospital of Indiana Inc | Urology | 600 W 13th Street, Suite 105, Jasper, IN 47546-1882 | 2012-07-06 |
| 1972877280 | Little Company of Mary Hospital of Indiana Inc | Family Medicine | 6402 E Industrial Lane, Leavenworth, IN 47137-8316 | 2012-03-05 |
| 1881843522 | Little Company of Mary Hospital of Indiana Inc | Clinic/Center | 522 South Maple Street, French Lick, IN 47432 | 2008-09-18 |
| 1588778518 | Little Company of Mary Hospital of Indiana Inc | General Acute Care Hospital | 800 W 9th Street, Jasper, IN 47546-2514 | 2006-08-18 |
| 1316440530 | Little Company of Mary Hospital of Indiana Inc | Otolaryngology | 721 W 13th St Ste 325, Jasper, IN 47546-1857 | 2018-03-14 |
| Street Address |
3644 E COUNTY ROAD 1600 N |
| City | LINCOLN CITY |
| State | IN |
| Zip Code | 47552-9662 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558580027 | North Spencer County School Corporation | Local Education Agency (LEA) | 3720 East State Road 162, Lincoln City, IN 47552 | 2007-04-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508463274 | Signature Hospice Oregon Coast, LLC | Hospice Care, Community Based | 820 Se Highway 101 Ste F, Lincoln City, OR 97367-2773 | 2020-10-06 |
| 1831705920 | Jacob Lane Merritt | Counselor | 412 Sw Hwy 101, Lincoln City, OR 97367-2772 | 2020-09-23 |
| 1417580556 | Phoebesue Nordyke | Doula | 606 Se Jetty Ave, Lincoln City, OR 97367-2856 | 2020-02-18 |
| 1710527999 | Costal Support Services | Case Management | 125 Se Mast Ave #55, Lincoln City, OR 97365 | 2020-01-15 |
| 1114566759 | Mari Ruth Angeline Schuman | Peer Specialist | 4488 Ne Devils Lake Blvd, Lincoln City, OR 97367-5065 | 2019-12-30 |
| 1881256121 | Amanda Suzanne Cherryholmes | Peer Specialist | 1206 Se 48th Place, Montgomery, Lincoln City, OR 97367 | 2019-07-08 |
| 1982198719 | Lakeside Family Dentistry | Dentist | 3173 Ne West Devils Lake Rd., Lincoln City, OR 97367 | 2018-06-15 |
| 1891282117 | Mark J Lee | Marriage & Family Therapist | 412 Southwest Highway 101, Lincoln City, OR 97367 | 2018-04-23 |
| 1952803314 | David M Johnson | Specialist | 1345 Nw 15th St, Lincoln City, OR 97367-3327 | 2018-03-01 |
| 1720502909 | Trina Renee Wilson | Speech-Language Pathologist | 201 Se Tide Ave, Lincoln City, OR 97367-3058 | 2017-07-31 |
| Find all providers in LINCOLN CITY | ||||
| 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 |
|---|---|---|---|---|
| 1013993880 | William S. Cornish | Family Medicine | 825 Nw Highway 101, Suite A, Lincoln City, OR 97367-3241 | 2005-12-22 |
| 1336455146 | Brian Craig Handley | Family Medicine | 1105 Se Jetty Ave, Suite C, Lincoln City, OR 97367-2632 | 2010-08-31 |
| 1871819573 | Albert P. Thompson | Family Medicine | 1105 Se Jetty Ave, Suite C, Lincoln City, OR 97367-2632 | 2010-04-20 |
| 1316013626 | Marilyn Jean Fraser | Family Medicine | 2870 Ne West Devils Lake Rd, Lincoln City, OR 97367-5127 | 2006-11-28 |
| 1235173162 | Robert J. Kaye | Family Medicine | 825 Nw Highway 101, Lincoln City, OR 97367-3241 | 2006-06-14 |
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|---|---|---|---|---|
| 1417556465 | Neuro Health Indianapolis LLC | Family Medicine | 1553 W Oak St, Zionsville, IN 46077-1840 | 2020-10-21 |
| 1740887298 | Northshore Health Centers, Inc. | Family Medicine | 651 W Morgan Ave Rm F168, Chesterton, IN 46304-2243 | 2020-10-07 |
| 1144836990 | Rachel Leigh Anderson | Family Medicine | 996 Bard Ln, Carmel, IN 46032-1072 | 2020-09-17 |
| 1073125225 | Relymd Medical Group In, LLC | Family Medicine | 9221 Crawfordsville Rd, Indianapolis, IN 46234-1521 | 2020-08-19 |
| 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 |
| 1861027641 | Megan Chloe Nonte | Family Medicine | 837 Bellbrook Rd, Loogootee, IN 47553-4612 | 2020-03-11 |
| 1477192151 | Debra Susan Hayes | Family Medicine | 455 W Industrial Dr, Terre Haute, IN 47802-9266 | 2019-12-30 |
| Find all providers with the same taxonomy | ||||
| City | LINCOLN CITY |
| Zip Code | 47552 |
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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.