Healthcare Provider Details

I. General information

NPI: 1609981372
Provider Name (Legal Business Name): ADAMS COUNTY MEMORIAL HOSPITAL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/20/2006
Last Update Date: 10/08/2025
Certification Date: 10/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7524 E. JACKSON STREET
MUNCIE IN
47302-9273
US

IV. Provider business mailing address

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

V. Phone/Fax

Practice location:
  • Phone: 765-747-7820
  • Fax: 765-747-9844
Mailing address:
  • Phone: 260-724-2145
  • Fax: 317-818-1022

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number11-000681-1
License Number StateIN

VIII. Authorized Official

Name: KYLE SPRUNGER
Title or Position: ASSISTANT TREASURER
Credential:
Phone: 260-724-2145