Healthcare Provider Details

I. General information

NPI: 1619164001
Provider Name (Legal Business Name): ADAMS COUNTY MEMORIAL HOSPITAL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/28/2007
Last Update Date: 09/19/2024
Certification Date: 09/19/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2500 IOWA AVE
CONNERSVILLE IN
47331-2404
US

IV. Provider business mailing address

1100 MERCER AVE PO BOX 151
DECATUR IN
46733-2303
US

V. Phone/Fax

Practice location:
  • Phone: 765-825-7514
  • Fax: 765-827-0116
Mailing address:
  • Phone: 260-724-2145
  • Fax: 260-728-3852

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number070003182
License Number StateIN

VIII. Authorized Official

Name: KYLE R SPRUNGER
Title or Position: ASSISTANT CFO
Credential: CPA
Phone: 260-724-2145