Healthcare Provider Details

I. General information

NPI: 1376783043
Provider Name (Legal Business Name): DUNN MEMORIAL HOSPITAL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/20/2009
Last Update Date: 02/20/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1600 23RD ST
BEDFORD IN
47421-4704
US

IV. Provider business mailing address

1600 23RD ST
BEDFORD IN
47421-4704
US

V. Phone/Fax

Practice location:
  • Phone: 812-275-3331
  • Fax: 812-276-1291
Mailing address:
  • Phone: 812-275-3331
  • Fax: 812-276-1291

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: DEBORAH BRUNER
Title or Position: CEO
Credential:
Phone: 812-275-3331