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
1	314000000X	Skilled Nursing Facility	17-001201-1	IN

Other Identifiers

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

General Provider Information

NPI Number	:	1821185356
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ADAMS COUNTY MEMORIAL HOSPITAL

Provider Business Mailing Address
First Line	:	1100 MERCER AVE
Second Line	:
City	:	DECATUR
State	:	IN
Zip	:	46733-2303
Country	:	US
Telephone Number	:	260-724-2145
Fax Number	:	260-728-3867

Provider Business Practice Location Address
First Line	:	17475 DUGDALE DR
Second Line	:
City	:	SOUTH BEND
State	:	IN
Zip	:	46635-1545
Country	:	US
Telephone Number	:	219-271-3990
Fax Number	:	219-271-3981

Authorized Official
Title or Position	:	ASSISTANT CFO
Name	:	MR. KYLE SPRUNGER
Credential	:
Telephone Number	:	260-724-2145

Provider Enumeration Date	:	10/06/2006
Last Update Date	:	12/19/2024

Similar Medicare Providers

1689758575 — TRINITY CONTINUING CARE SERVICES
Practice Location Address:

17475 DUGDALE DR
SOUTH BEND, IN
46635-1545

Practice Phone: 219-291-3990
Practice Fax: 219-271-3981

1326122300 — TRINITY CONTINUING CARE SERVICES
Practice Location Address:

17475 DUGDALE DR
SOUTH BEND, IN
46635-1545

Practice Phone: 219-271-3990
Practice Fax: 219-271-3981

1407930498 — TRINITY CONTINUING CARE SERVICES
Practice Location Address:

17475 DUGDALE DR
SOUTH BEND, IN
46635-1545

Practice Phone: 219-271-3990
Practice Fax: 219-271-3981

1386149961 — MONA ARORA
Practice Location Address:

17495 DUGDALE DR
SOUTH BEND, IN
46635-1545

Practice Phone: 574-247-4168
Practice Fax:

1164986477 — MRS. TARA LYNN OPACZEWSKI COTA/L
Practice Location Address:

17495 DUGDALE DR
SOUTH BEND, IN
46635-1545

Practice Phone: 574-247-7500
Practice Fax:

1669935300 — ELIAS GATHENYA
Practice Location Address:

17475 DUGDALE DR
SOUTH BEND, IN
46635-1545

Practice Phone: 574-247-7500
Practice Fax:

Directions to “ADAMS 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.