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NPI Code Detail

MEDICARE: ADAMS COUNTY MEMORIAL HOSPITAL

MEDICARE: ADAMS 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
1314000000XSkilled Nursing Facility060004421IN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1568401263
Entity Type Code : Organization
Provider Name (Legal Business Name) : ADAMS COUNTY MEMORIAL HOSPITAL
Provider Business Mailing Address
First Line : 1100 MERCER AVENUE
Second Line : PO BOX 151
City : DECATUR
State : IN
Zip : 46733-2303
Country : US
Telephone Number : 812-424-8100
Fax Number : 812-423-6855
Provider Business Practice Location Address
First Line : 3400 STOCKER DRIVE
Second Line :
City : EVANSVILLE
State : IN
Zip : 47720-6142
Country : US
Telephone Number : 812-424-8100
Fax Number : 812-423-6855
Authorized Official
Title or Position : ASSISTANT CFO
Name : MR. KYLE SPRUNGER
Credential : CPA
Telephone Number : 260-724-2145
Provider Enumeration Date : 06/06/2006
Last Update Date : 07/31/2023

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Directions to “ADAMS COUNTY MEMORIAL HOSPITAL ” Practice Location

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