JASPER COUNTY HOSPITAL (NPI# 1982930483) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982930483 |
| Entity Type | Organization |
| Organization Name | JASPER COUNTY HOSPITAL |
| Other Organization Name | JASPER COUNTY HOSPITAL DEMOTTE MEDICAL EQUIPMENT |
| Practice Address |
520 S Halleck Street Demotte IN 46310-8630 |
| Mailing Address |
1104 E Grace St Rensselaer IN 47978-3296 |
| Practice Telephone | 2199876762 |
| Practice Fax Number | 2199876763 |
| Mailing Telephone | 2198665141 |
| Mailing Fax Number | 2198662014 |
| Enumeration Date | 2009-10-19 |
| Last Update Date | 2010-04-14 |
| Authorized Official Name | JEFFREY D WEBB (VICE PRESIDENT OF FINANCIAL SERVICE) |
| Authorized Official Telephone | 2198665141 |
| Authorized Official Credential | C.P.A. |
| Is Organization Subpart | Y |
| Parent Organization Name | JASPER COUNTY HOSPITAL |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332900000X | Non-Pharmacy Dispensing Site | Suppliers | ||
| N | 332BP3500X |
Durable Medical Equipment & Medical Supplies Specialization: Parenteral & Enteral Nutrition |
Suppliers | ||
| N | 332BX2000X |
Durable Medical Equipment & Medical Supplies Specialization: Oxygen Equipment & Supplies |
Suppliers | ||
| N | 335E00000X | Prosthetic/Orthotic Supplier | Suppliers | ||
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 200357640A | 05 |
| Other Name | Type Code |
|---|---|
| Jasper County Hospital DeMotte Medical Equipment | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 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 |
| 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 |
520 S HALLECK STREET |
| City | DEMOTTE |
| State | IN |
| Zip Code | 46310-8630 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447872197 | Mackenna Lee Vandertuin | Early Intervention Provider Agency | 400 11th Circle Se, Demotte, IN 46310 | 2020-05-15 |
| 1316283609 | Jasper County Chiropractic, Inc. | Chiropractor | 701 South Halleck Street, Demotte, IN 46310 | 2012-12-14 |
| 1518136944 | John Joseph Perry | Pharmacist | 915 S Halleck St, Demotte, IN 46310 | 2008-02-29 |
| 1164644498 | Dodi R. Woolley Dds, Inc | Dentist | 534 N Hallock St, Demotte, IN 46310 | 2007-05-03 |
| 1700989233 | Eric J Leestma | Family Medicine | 519 N Halleck, Demotte, IN 46310 | 2006-09-07 |
| 1215960463 | Keener Civil Township Jasper County Ttee | Ambulance | 708 15th St Se, Demotte, IN 46310 | 2006-07-09 |
| 1437187085 | Cecilia Jean Sampsel | Family Medicine | 520 Eighth Ave N.e, Demotte, IN 46310 | 2006-06-30 |
| 1689602468 | Frances Clark | Nurse Practitioner | 11920 W State Rd 10, Demotte, IN 46310 | 2006-06-29 |
| 1336359801 | Donabelle Reyes Eliscupides | Physical Therapist | 10352 N 600 E, Demotte, IN 46310 | 2007-05-23 |
| 1760691638 | Cheryle Rae Lewandowski | Physical Therapy Assistant | 10352 N 600 E, Demotte, IN 46310 | 2007-05-21 |
| Find all providers in zip 46310 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225266109 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 226 N Halleck St, Demotte, IN 46310-8633 | 2009-06-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598364176 | Jace Medical LLC | Durable Medical Equipment & Medical Supplies | 3516 Commerce Dr, Warsaw, IN 46580-3925 | 2020-10-23 |
| 1760081525 | After Action Medical and Dental Supply, LLC | Durable Medical Equipment & Medical Supplies | 4444 Decatur Blvd., Suite 100, Indianapolis, IN 46241 | 2020-10-22 |
| 1588263628 | Riyff LLC | Durable Medical Equipment & Medical Supplies | 162 W Carmel Dr, Carmel, IN 46032-2526 | 2020-10-20 |
| 1487261897 | J & Y Medical LLC | Durable Medical Equipment & Medical Supplies | 227 E Dupont Rd, Fort Wayne, IN 46825-2047 | 2020-09-29 |
| 1245844000 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 1441 E 84th Pl Rm 120, Merrillville, IN 46410-6578 | 2020-08-31 |
| 1598376485 | The South Bend Clinic LLP | Durable Medical Equipment & Medical Supplies | 6301 University Commons Ste 100, South Bend, IN 46635-1571 | 2020-08-13 |
| 1427676634 | Undranita Gilbert | Durable Medical Equipment & Medical Supplies | 12077 Stern Dr, Indianapolis, IN 46256-9442 | 2020-07-14 |
| 1487272142 | Perennial Health LLC | Durable Medical Equipment & Medical Supplies | 15736 Viking Commander Way, Westfield, IN 46074-7742 | 2020-07-09 |
| 1710503693 | Diabetic Equipment and Supplies LLC | Durable Medical Equipment & Medical Supplies | 3905 Vincennes Rd Ste 405, Indianapolis, IN 46268-3026 | 2020-06-17 |
| 1275158198 | Jennmike Inc. | Durable Medical Equipment & Medical Supplies | 525 N Green River Rd, Evansville, IN 47715-2472 | 2020-06-16 |
| Find all providers with the same taxonomy | ||||
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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.