Healthcare Provider Details

I. General information

NPI: 1760519268
Provider Name (Legal Business Name): ADAMS COUNTY MEMORIAL HOSPITAL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/28/2007
Last Update Date: 06/10/2026
Certification Date: 06/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12011 WHITTERN RD
MONROEVILLE IN
46773-9126
US

IV. Provider business mailing address

12011 WHITTERN RD
MONROEVILLE IN
46773-9126
US

V. Phone/Fax

Practice location:
  • Phone: 260-623-6440
  • Fax: 260-623-6870
Mailing address:
  • Phone: 260-623-6440
  • Fax: 260-623-6870

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code313M00000X
TaxonomyNursing Facility/Intermediate Care Facility
License Number060025491
License Number StateIN
# 2
Primary TaxonomyN
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number060025491
License Number StateIN

VIII. Authorized Official

Name: MR. KYLE SPRUNGER
Title or Position: CFO/TREASURER
Credential: CPA
Phone: 260-724-2145