Healthcare Provider Details

I. General information

NPI: 1295732188
Provider Name (Legal Business Name): DECATUR COUNTY MEMORIAL HOSPITAL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/07/2005
Last Update Date: 03/12/2024
Certification Date: 03/12/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

718 N. LINCOLN ST
GREENSBURG IN
47240-1348
US

IV. Provider business mailing address

720 N. LINCOLN ST
GREENSBURG IN
47240-1398
US

V. Phone/Fax

Practice location:
  • Phone: 812-662-0588
  • Fax: 812-663-5932
Mailing address:
  • Phone: 812-663-4331
  • Fax: 812-663-1299

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QP2300X
TaxonomyPrimary Care Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code261QR1300X
TaxonomyRural Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: REX MCKINNEY
Title or Position: PRESIDENT//CEO
Credential:
Phone: 812-663-4331