NPI Code Details Logo

NPI 1609981372

NPI 1609981372 : ADAMS COUNTY MEMORIAL HOSPITAL : MUNCIE, IN

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1609981372
-----------------------------------------------------
    Entity Type          |    Organization 
-----------------------------------------------------
    Legal Business Name  |    ADAMS COUNTY MEMORIAL HOSPITAL 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    08/20/2006
-----------------------------------------------------
    Last Update Date     |    10/08/2025
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    7524 E. JACKSON STREET 
-----------------------------------------------------
    City                 |    MUNCIE
-----------------------------------------------------
    State                |    IN
-----------------------------------------------------
    Zip                  |    47302-9273
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    765-747-7820
-----------------------------------------------------
    Fax                  |    765-747-9844
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    1100 MERCER AVENUE PO BOX 151
-----------------------------------------------------
    City                 |    DECATUR
-----------------------------------------------------
    State                |    IN
-----------------------------------------------------
    Zip                  |    46733-2303
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    260-724-2145
-----------------------------------------------------
    Fax                  |    317-818-1022
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    ASSISTANT TREASURER
-----------------------------------------------------
    Name                 |     KYLE  SPRUNGER 
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    260-724-2145
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    314000000X
-----------------------------------------------------
    Taxonomy Name        |    Skilled Nursing Facility
-----------------------------------------------------
    License Number       |    11-000681-1
-----------------------------------------------------
    License Number State |    IN
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.