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General NPI Number Information
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NPI Number | 1033115993
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Entity Type | Organization
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Legal Business Name | JAY COUNTY HOSPITAL
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Dates
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Enumeration Date | 06/24/2005
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Last Update Date | 04/20/2008
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Provider Practice Location Address
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Address Line | 500 W VOTAW ST
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City | PORTLAND
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State | IN
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Zip | 47371-1322
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Country | US
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Telephone | 260-726-7131
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Fax | 260-726-1975
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Provider Business Mailing Address
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Address Line | 500 W VOTAW ST
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City | PORTLAND
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State | IN
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Zip | 47371-1322
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Country | US
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Telephone | 260-726-7131
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Fax | 260-726-1975
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Authorized Official
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Title or Position | CFO
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Name | MRS. DON MICHAEL
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Credential |
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Telephone | 260-726-7131
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 282NC0060X
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Taxonomy Name | Critical Access Hospital
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License Number |
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License Number State | IN
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