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General NPI Number Information
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NPI Number | 1619164001
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Entity Type | Organization
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Legal Business Name | ADAMS COUNTY MEMORIAL HOSPITAL
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Dates
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Enumeration Date | 09/28/2007
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Last Update Date | 09/19/2024
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Provider Practice Location Address
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Address Line | 2500 IOWA AVE
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City | CONNERSVILLE
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State | IN
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Zip | 47331-2404
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Country | US
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Telephone | 765-825-7514
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Fax | 765-827-0116
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Provider Business Mailing Address
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Address Line | 1100 MERCER AVE PO BOX 151
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City | DECATUR
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State | IN
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Zip | 46733-2303
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Country | US
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Telephone | 260-724-2145
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Fax | 260-728-3852
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Authorized Official
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Title or Position | ASSISTANT CFO
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Name | KYLE R SPRUNGER
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Credential | CPA
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Telephone | 260-724-2145
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 314000000X
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Taxonomy Name | Skilled Nursing Facility
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License Number | 070003182
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License Number State | IN
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