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General NPI Number Information
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NPI Number | 1528067378
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Entity Type | Organization
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Legal Business Name | DECATUR COUNTY MEMORIAL HOSPITAL
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Dates
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Enumeration Date | 07/14/2005
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 720 N LINCOLN ST
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City | GREENSBURG
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State | IN
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Zip | 47240-1327
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Country | US
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Telephone | 812-663-4331
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Fax | 812-663-1316
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Provider Business Mailing Address
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Address Line | 720 N LINCOLN ST
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City | GREENSBURG
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State | IN
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Zip | 47240-1327
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Country | US
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Telephone | 812-663-4331
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Fax | 812-663-1316
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Authorized Official
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Title or Position | COMPLIANCE OFFICER
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Name | MS. MARJORIE B. WILLER
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Credential | R.N.
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Telephone | 812-663-1375
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 275N00000X
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Taxonomy Name | Medicare Defined Swing Bed Hospital Unit
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License Number | 005057
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License Number State | IN
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