MEDICARE: WASHINGTON 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
1	247100000X	Radiologic Technologist	01058910A	IN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	000000342198	OTHER	IN	BLUE CROSS BLUE SHIELDS
2	01058910A	OTHER	IN	STATE LICENSE
3	203299	OTHER	IN	COMMERCIAL ID

General Provider Information

NPI Number	:	1598826752
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WASHINGTON COUNTY MEMORIAL HOSPITAL

Provider Business Mailing Address
First Line	:	125 SPRING MEADOW CIR
Second Line	:
City	:	SALEM
State	:	IN
Zip	:	47167-9429
Country	:	US
Telephone Number	:	812-883-3963
Fax Number	:

Provider Business Practice Location Address
First Line	:	125 SPRING MEADOW CIR
Second Line	:
City	:	SALEM
State	:	IN
Zip	:	47167-9429
Country	:	US
Telephone Number	:	812-883-3963
Fax Number	:

Authorized Official
Title or Position	:	RADIOLOGIST
Name	:	ABDELRAHMAN M ABDALLA
Credential	:	M.D.
Telephone Number	:	812-883-5881

Provider Enumeration Date	:	12/12/2006
Last Update Date	:	03/07/2023

Similar Medicare Providers

1447256334 — JEFFREY GLENN MORGAN MD
Practice Location Address:

104 CONNIE AVE
SALEM, IN
47167-2305

Practice Phone: 812-883-2696
Practice Fax:

1982606885 — JONATHAN FOX NOEL MD
Practice Location Address:

505 W HOMER ST STE 102
SALEM, IN
47167-1698

Practice Phone: 812-883-1708
Practice Fax:

1053303198 — JACK T HEDRICK OD
Practice Location Address:

600 S MAIN ST
SALEM, IN
47167-1040

Practice Phone: 812-883-2700
Practice Fax: 812-883-2752

1518959998 — DR. PATRICIA REED TATE M.D.
Practice Location Address:

911 N SHELBY ST
SALEM, IN
47167-2304

Practice Phone: 812-883-5881
Practice Fax:

1346235553 — NOEL COURTNEY PUTMAN CRNA
Practice Location Address:

911 N SHELBY ST
SALEM, IN
47167-2304

Practice Phone: 812-883-5881
Practice Fax:

1902894546 — DR. JOHN E HATEGAN MD
Practice Location Address:

102 CONNIE AVE , SUITE 206
SALEM, IN
47167-2311

Practice Phone: 812-883-9121
Practice Fax: 812-883-2161

Directions to “WASHINGTON 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.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.