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1033115993

NPI Code Detail

MEDICARE: JAY COUNTY HOSPITAL

MEDICARE: JAY COUNTY HOSPITAL

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	282NC0060X	Critical Access Hospital		IN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
6	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
7	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
8	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
9	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
10	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1033115993
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JAY COUNTY HOSPITAL

Provider Business Mailing Address
First Line	:	500 W VOTAW ST
Second Line	:
City	:	PORTLAND
State	:	IN
Zip	:	47371-1322
Country	:	US
Telephone Number	:	260-726-7131
Fax Number	:	260-726-1975

Provider Business Practice Location Address
First Line	:	500 W VOTAW ST
Second Line	:
City	:	PORTLAND
State	:	IN
Zip	:	47371-1322
Country	:	US
Telephone Number	:	260-726-7131
Fax Number	:	260-726-1975

Authorized Official
Title or Position	:	CFO
Name	:	MRS. DON MICHAEL
Credential	:
Telephone Number	:	260-726-7131

Provider Enumeration Date	:	06/24/2005
Last Update Date	:	04/20/2008

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Directions to “JAY COUNTY HOSPITAL ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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