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NPI Code Detail

MEDICARE: ADAMS COUNTY MEMORIAL HOSPITAL

MEDICARE: ADAMS COUNTY MEMORIAL 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
1314000000XSkilled Nursing Facility11-000032-1IN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1477626026
Entity Type Code : Organization
Provider Name (Legal Business Name) : ADAMS COUNTY MEMORIAL HOSPITAL
Provider Business Mailing Address
First Line : 1100 MERCER AVENUE
Second Line :
City : DECATUR
State : IN
Zip : 46733-2303
Country : US
Telephone Number : 260-724-2145
Fax Number : 317-818-1022
Provider Business Practice Location Address
First Line : 45 BEACHWAY DRIVE
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46224-8501
Country : US
Telephone Number : 317-243-3721
Fax Number :
Authorized Official
Title or Position : ASSISTANT CFO
Name : MR. KYLE SPRUNGER
Credential : CPA
Telephone Number : 260-724-2145
Provider Enumeration Date : 11/15/2006
Last Update Date : 06/17/2022

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Directions to “ADAMS COUNTY MEMORIAL HOSPITAL ” Practice Location

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