Healthcare Provider Details

I. General information

NPI: 1891031480
Provider Name (Legal Business Name): ADAMS COUNTY MEMORIAL HOSPITAL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/31/2012
Last Update Date: 06/06/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1350 WEST MAIN STREET
BERNE IN
46711-1794
US

IV. Provider business mailing address

1100 MERCER AVENUE
DECATUR IN
46733
US

V. Phone/Fax

Practice location:
  • Phone: 260-589-3173
  • Fax: 260-589-8369
Mailing address:
  • Phone: 260-724-2145
  • Fax: 260-589-8369

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number
License Number State

VIII. Authorized Official

Name: MR. DANE E. WHEELER
Title or Position: CFO
Credential: CPA
Phone: 260-724-2145