DEKALB MEMORIAL HOSPITAL INC (NPI# 1033114418) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033114418 |
| Entity Type | Organization |
| Organization Name | DEKALB MEMORIAL HOSPITAL INC |
| Other Organization Name | DEKALB HEALTH HOME CARE |
| Practice Address |
400 Erie Pass Auburn IN 46706-0000 |
| Mailing Address |
1316 E 7th St Auburn IN 46706-2538 |
| Practice Telephone | 2609258699 |
| Practice Fax Number | 2609259042 |
| Mailing Telephone | 2609258699 |
| Mailing Fax Number | 2609259042 |
| Enumeration Date | 2005-06-14 |
| Last Update Date | 2013-01-18 |
| Authorized Official Name | MRS. PATRICIA A HOFF (BILLING REPRESENTATIVE) |
| Authorized Official Telephone | 2609258699 |
| Is Organization Subpart | Y |
| Parent Organization Name | DEKALB MEMORIAL HOSPITAL INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251E00000X | Home Health | 005332 | IN | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 100264360A | 05 |
| Other Name | Type Code |
|---|---|
| DeKalb Health Home Care | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780117200 | Dekalb Memorial Hospital Inc | Family Medicine | 1061 Smaltz Way, Auburn, IN 46706-9599 | 2017-04-11 |
| 1497292452 | Dekalb Memorial Hospital Inc | Family Medicine | 400 Erie Pass, Auburn, IN 46706-2523 | 2017-01-27 |
| 1255875712 | Dekalb Memorial Hospital Inc | Audiologist | 1310 E 7th St, Ste B, Auburn, IN 46706-2534 | 2016-12-16 |
| 1902897937 | Dekalb Memorial Hospital Inc | Ambulance | 1316 E 7th St, Auburn, IN 46706-2523 | 2005-10-31 |
| 1295730919 | Dekalb Memorial Hospital Inc | Hospice Care, Community Based | 400 Erie Pass, Auburn, IN 46706-0000 | 2005-06-17 |
| Street Address |
400 ERIE PASS |
| City | AUBURN |
| State | IN |
| Zip Code | 46706-0000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497292452 | Dekalb Memorial Hospital Inc | Family Medicine | 400 Erie Pass, Auburn, IN 46706-2523 | 2017-01-27 |
| 1295730919 | Dekalb Memorial Hospital Inc | Hospice Care, Community Based | 400 Erie Pass, Auburn, IN 46706-0000 | 2005-06-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942843701 | Lara Maria Lahr | Advanced Practice Midwife | Auburn Ob/gyn, 1316 East 7th Street Suite 2, Auburn, IN 46706 | 2019-10-24 |
| 1982180501 | Kersten L. Weigle | Nurse Practitioner | 1310 E 7th St Ste F, Auburn, IN 46706 | 2018-07-17 |
| 1902267057 | Crystal Nicole Kennedy | Nurse Practitioner | 1306 E 7th St#c, Auburn, IN 46706 | 2016-03-17 |
| 1902264203 | Andrew Delagrange | Student in an Organized Health Care Education/Training Program | 1021 Eckhart Avenue, Auburn, IN 46706 | 2016-02-02 |
| 1164839007 | Morgan Ariel Buchs | Physical Therapist | 353 N. Grandstaff Dr., Auburn, IN 46706 | 2014-07-11 |
| 1407139546 | Stacy Marie Smith | Registered Nurse | 1310 E 7th St., Ste J, Auburn, IN 46706 | 2011-09-26 |
| 1518262807 | Kori B Engdahl | Advanced Practice Midwife | 1310 East 7th Street, Suite M, Auburn, IN 46706 | 2011-01-18 |
| 1588986541 | Jack Phillip Covell | General Practice | 5631 Co Rd 29, Auburn, IN 46706 | 2010-02-18 |
| 1396914271 | Midwest Eye Consultants, P.C. | Optometrist | 750 N. Grandstaff Dr., Auburn, IN 46706 | 2008-02-26 |
| 1700077013 | Tyler Elliott Helm | Physical Therapist | 510 N. Grandstaff Dr., Auburn, IN 46706 | 2007-08-05 |
| Find all providers in zip 46706 | ||||
| Taxonomy Code | 251E00000X |
| Grouping | Agencies |
| Classification | Home Health |
| A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety. |
| Notes: Source: CFR42 Chapter IV Part 484, http://www.access.gpo.gov/nara/cfr/waisidx_99/42cfr484_99.html [7/1/2007: definition added, source added] |
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| 1619411063 | R & R Healthcare, LLC | Home Health | 611 E Glenn Ave, Suite C, Auburn, AL 36830-4402 | 2016-12-05 |
| 1073991790 | Freedom Providers Healthcare | Home Health | 3858 D Pl Se, Auburn, WA 98002-3800 | 2015-05-14 |
| 1144617747 | Niare Feaster | Home Health | 4160 Triton Ives Dr, Auburn, GA 30011 | 2015-04-21 |
| Find all providers in AUBURN | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.