DECATUR COUNTY MEMORIAL HOSPITAL (NPI# 1114179181) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114179181 |
| Entity Type | Organization |
| Organization Name | DECATUR COUNTY MEMORIAL HOSPITAL |
| Other Organization Name | WORK WELL/IMMEDIATE CARE CLINIC |
| Practice Address |
955 N Michigan Ave Greensburg IN 47240-1487 |
| Practice Telephone | 8126626450 |
| Mailing Telephone | 8126626450 |
| Enumeration Date | 2008-10-21 |
| Last Update Date | 2018-09-12 |
| Authorized Official Name | REX MCKINNEY (PRESIDENT/CEO) |
| Authorized Official Telephone | 8126631171 |
| Is Organization Subpart | Y |
| Parent Organization Name | DECATUR COUNTY MEMORIAL HOSPITAL |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QU0200X |
Clinic/Center Specialization: Urgent Care |
Ambulatory Health Care Facilities | ||
| Y | 261QX0100X |
Clinic/Center Specialization: Occupational Medicine |
07-004714-1 | IN | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Work Well/Immediate Care Clinic | Doing Business As Name - Organization |
| Workwell | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629698808 | Decatur County Memorial Hospital | Skilled Nursing Facility | 6712 Restoracy Drive, Whitestown, IN 46075-0089 | 2020-04-17 |
| 1275001489 | Decatur County Memorial Hospital | Clinic/Center | 955 N Michigan Ave Ste 2, Greensburg, IN 47240-1487 | 2018-11-06 |
| 1821512138 | Decatur County Memorial Hospital | Surgery | 731 N Lincoln St, Greensburg, IN 47240-1328 | 2017-07-28 |
| 1164599304 | Decatur County Memorial Hospital | Alzheimer Center (Dementia Center) | 18325 Bailey Ave, South Bend, IN 46637 | 2006-11-30 |
| 1346292737 | Decatur County Memorial Hospital | Skilled Nursing Facility | 353 Tyler Street, Gary, IN 46402-1149 | 2006-05-16 |
| 1295720365 | Decatur County Memorial Hospital | Skilled Nursing Facility | 950 N Lakeview Dr, Greensburg, IN 47240-3405 | 2005-09-15 |
| 1952300477 | Decatur County Memorial Hospital | General Acute Care Hospital | 720 N. Lincoln St, Greensburg, IN 47240-1398 | 2005-07-18 |
| 1295732188 | Decatur County Memorial Hospital | Clinic/Center | 718 N. Lincoln St, Greensburg, IN 47240-1348 | 2005-07-07 |
| 1124025010 | Decatur County Memorial Hospital | Home Health | 955 N. Michigan St., Greensburg, IN 47240-1327 | 2005-07-07 |
| 1629588181 | Decatur County Memorial Hospital | Nursing Facility/Intermediate Care Facility | 3640 Central Ave, Indianapolis, IN 46205-3569 | 2017-10-10 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | DECATUR COUNTY MEMORIAL HOSPITAL | 720 N Lincoln St, Greensburg, IN 47240-1327 |
| Indiana Business Entities | DECATUR COUNTY MEMORIAL HOSPITAL | Formed Pursuant To Ic 16-22-8-6, "other Entity" Under 23-15-1-5-, To Provide for Assumed Name, ., |
| Street Address |
955 N MICHIGAN AVE |
| City | GREENSBURG |
| State | IN |
| Zip Code | 47240-1487 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407855943 | Mary Rose Mccullough | Family Medicine | 955 N Michigan Ave, Greensburg, IN 47240-1487 | 2005-07-18 |
| 1609486893 | Karen Gerri Raver | Nurse Practitioner | 955 N Michigan Ave, Greensburg, IN 47240-1487 | 2020-08-03 |
| 1407481948 | Desirae Moore | Social Worker | 955 N Michigan Ave, Greensburg, IN 47240-1487 | 2020-03-05 |
| 1699250720 | Laura J Krall | Nurse Practitioner | 955 N Michigan Ave, Greensburg, IN 47240-1487 | 2018-09-25 |
| 1316451701 | Jill Marie Prickel | Nurse Practitioner | 955 N Michigan Ave, Greensburg, IN 47240-1487 | 2017-11-22 |
| 1730620436 | Samantha Ann Stegman | Nurse Practitioner | 955 N Michigan Ave, Greensburg, IN 47240-1487 | 2017-03-14 |
| 1952776338 | Decatur County Memorial Hospital | Clinic/Center | 955 N Michigan Ave, Greensburg, IN 47240-1487 | 2015-12-10 |
| 1689072613 | Forefront Dermatology, S.c. | Dermatology | 955 N Michigan Ave, Suite 81, Greensburg, IN 47240 | 2014-12-08 |
| 1811392483 | Suzanne Elizabeth Johannigman | Nurse Practitioner | 955 N Michigan Ave, Greensburg, IN 47240-1487 | 2014-10-25 |
| 1003230145 | Jill Koors | Nurse Practitioner | 955 N Michigan Ave, Suite 83, Greensburg, IN 47240-1487 | 2014-02-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710596135 | Daniel Joseph Jennings | Physician Assistant | 545 Nw Santee Drive, Greensbrug, IN 47240 | 2020-07-31 |
| 1245694413 | Accudoc Inc PC | Family Medicine | 2311 N St Rd 3, Greensburg, IN 47240 | 2016-04-13 |
| 1679848832 | Kati Rose Huffman | Physical Therapy Assistant | 950 North Lakeview Drive, Greensburg, IN 47240 | 2012-03-20 |
| 1588931786 | Tracy Springmeyer | Pharmacist | 2215 North State Road 3, Greensburg, IN 47240 | 2011-11-17 |
| 1720360175 | Callie Tamm | Pharmacist | 2215 North State Road Three, Greensburg, IN 47240 | 2011-09-12 |
| 1447457742 | Total Renal Care Inc | Clinic/Center | 1531 N Commerce East Dr Ste 6, Greensburg, IN 47240 | 2007-06-29 |
| 1508084237 | Johanna Dawn Painter | Speech-Language Pathologist | 7782 W. State Rd 46, Greensburg, IN 47240 | 2007-04-20 |
| 1083759617 | Kederick A Meyers | Family Medicine | 955 N Michigan Avenue, Greensburg, IN 47240 | 2007-02-21 |
| 1275615213 | David Charles Harp | Chiropractor | 1570 Commerce Dr West, Suite 3, Greensburg, IN 47240 | 2006-10-19 |
| 1750475604 | Carrie Ann Schlotter | Optometrist | 1204 N Lincoln St, Greensburg, IN 47240 | 2006-10-03 |
| Find all providers in zip 47240 | ||||
| Taxonomy Code | 261QX0100X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Occupational Medicine |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942396049 | Excela Health-incwell | Clinic/Center | 200 Village Dr Ste A, Greensburg, PA 15601-3783 | 2006-10-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669939617 | St Mary's Medical Group, LLC | Clinic/Center | 801 St. Marys Drive #406e, Evansville, IN 47714-0524 | 2019-02-26 |
| 1538590898 | Verve Health LLC | Clinic/Center | 9050 E 33rd St, Indianapolis, IN 46235-3603 | 2013-12-11 |
| 1811335227 | Eli Lilly and Company Employee Health | Clinic/Center | 893 S Delaware St, Lilly Corporate Center, Indianapolis, IN 46225-1782 | 2013-06-07 |
| 1699111468 | Cota | Clinic/Center | 2609 Calumet Ave, Dyer, IN 46311-1963 | 2013-05-20 |
| 1205133360 | Associated Physicians of Indiana LLC | Clinic/Center | 3051 S Us Highway 41, Terre Haute, IN 47802-3791 | 2011-02-24 |
| 1346572823 | Community Rehab Services South Park | Clinic/Center | 98 S Park Blvd, Greenwood, IN 46143-8836 | 2010-02-08 |
| 1407188980 | Community Rehab Services County Line Road | Clinic/Center | 1340 E County Line Rd, Suite U, Indianapolis, IN 46227-0874 | 2010-02-08 |
| 1972834067 | Workplace Health Services | Clinic/Center | 4850 Century Plaza Rd Ste 140, Indianapolis, IN 46254-5478 | 2010-01-29 |
| 1992994362 | Minds In Motion, Inc | Clinic/Center | 4343 Security Pkwy, Sigs Sportplex, New Albany, IN 47150-9374 | 2007-10-22 |
| 1144434473 | St Mary's Medical Center of Evansville, Inc | Clinic/Center | 14020 Old State Rd, Evansville, IN 47725-1121 | 2007-05-09 |
| Find all providers with the same taxonomy | ||||
| City | GREENSBURG |
| Zip Code | 47240 |
Please comment or provide details below to improve the information on DECATUR COUNTY MEMORIAL HOSPITAL.
| 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.