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NPI Code Detail

MEDICARE: DECATUR COUNTY MEMORIAL HOSPITAL

MEDICARE: DECATUR COUNTY MEMORIAL HOSPITAL
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QP2300XPrimary Care Clinic/Center
2261QR1300XRural Health Clinic/Center

General Provider Information

NPI Number : 1295732188
Entity Type Code : Organization
Provider Name (Legal Business Name) : DECATUR COUNTY MEMORIAL HOSPITAL
Provider Business Mailing Address
First Line : 720 N. LINCOLN ST
Second Line :
City : GREENSBURG
State : IN
Zip : 47240-1398
Country : US
Telephone Number : 812-663-4331
Fax Number : 812-663-1299
Provider Business Practice Location Address
First Line : 718 N. LINCOLN ST
Second Line :
City : GREENSBURG
State : IN
Zip : 47240-1348
Country : US
Telephone Number : 812-662-0588
Fax Number : 812-663-5932
Authorized Official
Title or Position : PRESIDENT//CEO
Name : REX MCKINNEY
Credential :
Telephone Number : 812-663-4331
Provider Enumeration Date : 07/07/2005
Last Update Date : 03/12/2024

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1710909866 — MR. NAVEED A FAZLANI M.D., MBA
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1598981391 — NICOLE SUZANNE BOERSMA MD
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Directions to “DECATUR COUNTY MEMORIAL HOSPITAL ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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