Healthcare Provider Details

I. General information

NPI: 1770905101
Provider Name (Legal Business Name): ADAMS COUNTY MEMORIAL HOSPITAL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/21/2014
Last Update Date: 03/18/2024
Certification Date: 02/06/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3625 SAINT JOSEPH RD
NEW ALBANY IN
47150-9745
US

IV. Provider business mailing address

1100 MERCER AVENUE
DECATUR IN
46733-2303
US

V. Phone/Fax

Practice location:
  • Phone: 812-948-0670
  • Fax: 812-948-6222
Mailing address:
  • Phone: 260-724-2145
  • Fax: 812-948-6222

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number06-000526-1
License Number StateIN

VIII. Authorized Official

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