ADAMS COUNTY MEMORIAL HOSPITAL


Address: 400 Caylor Boulevard, Bluffton, IN 46714-8805
Phone: 2608248940

ADAMS COUNTY MEMORIAL HOSPITAL (NPI# 1366531907) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1366531907
Entity Type Organization
Organization Name ADAMS COUNTY MEMORIAL HOSPITAL
Other Organization Name RIVER TERRACE HEALTH CARE CENTER
Practice Address 400 Caylor Boulevard
Bluffton
IN 46714-8805
Mailing Address Po Box 151
1100 Mercer Avenue
Decatur
IN 46733-2303
Practice Telephone 2608248940
Practice Fax Number 2608248951
Mailing Telephone 2608248940
Mailing Fax Number 2608248951
Enumeration Date 2006-10-12
Last Update Date 2015-10-26
Authorized Official Name DANE WHEELER (CFO/TREASURER)
Authorized Official Telephone 2607242145
Authorized Official Credential CPA
Is Organization Subpart Y
Parent Organization Name ADAMS COUNTY MEMORIAL HOSPITAL

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 310400000X Assisted Living Facility 06-003575-1 IN Nursing & Custodial Care Facilities
N 314000000X Skilled Nursing Facility 06-003575-1 IN Nursing & Custodial Care Facilities
Y 314000000X Skilled Nursing Facility 13-003575-1 IN Nursing & Custodial Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
IN 200830320 05
IN 200395060 05

Other Provider/Organization Names

Other Name Type Code
River Terrace Health Care Center Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1891031480 Adams County Memorial Hospital Skilled Nursing Facility 1350 West Main Street, Berne, IN 46711-1794 2012-12-31
1134493281 Adams County Memorial Hospital Nursing Facility/Intermediate Care Facility 9802 Coldwater Road, Fort Wayne, IN 46825 2012-03-06
1982729604 Adams County Memorial Hospital Nursing Facility/Intermediate Care Facility 6996 S Us 421, Versailles, IN 47042-9390 2007-03-20
1760519268 Adams County Memorial Hospital Skilled Nursing Facility 12011 Whittern Rd, Monroeville, IN 46773-9126 2007-02-28
1356476154 Adams County Memorial Hospital Skilled Nursing Facility 1300 Mercer Ave, Decatur, IN 46733-2407 2007-02-22
1477699460 Adams County Memorial Hospital Skilled Nursing Facility 200 West Fourth Dtreet, Oaktown, IN 47561-8081 2007-01-29
1235205816 Adams County Memorial Hospital Skilled Nursing Facility 520 W 9th Street, Jasper, IN 47546-2711 2006-11-27
1659454148 Adams County Memorial Hospital Skilled Nursing Facility 9325 N. Crawford Streeet, Knightsville, IN 47857-0170 2006-10-20
1821185356 Adams County Memorial Hospital Skilled Nursing Facility 17475 Dugdale Dr, South Bend, IN 46635-1545 2006-10-06
1609977628 Adams County Memorial Hospital Skilled Nursing Facility 2400 College Avenue, Goshen, IN 46528 2006-09-25

Other Data Sources

Entity Type Entity Name Entity Address
System for Award Management (SAM) Entities ADAMS COUNTY MEMORIAL HOSPITAL 1100 Mercer Ave, Decatur, IN 46733-2303

Office Location

Street Address 400 CAYLOR BOULEVARD
City BLUFFTON
State IN
Zip Code 46714-8805

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1700262953 Emily Lyn Perkins Physical Therapist 2170 Commerce Drive, Bluffton, IN 46714 2015-08-10
1861871170 Mercy Seat Dentistry Dental Hygienist 2155 Commerce Drive, Bluffton, IN 46714 2015-05-20
1396145363 Shanel G Petty Pharmacist 1975 North Main Street, Bluffton, IN 46714 2014-08-27
1740479427 Erica Jane Roberts Occupational Therapist 1100 South Main Street, Bluffton, IN 46714 2007-10-18
1023176575 Pamela Jane Johnson Dentist 1417 Baker Place, Bluffton, IN 46714 2006-12-05
1285698225 Donald August Dian Pediatrics 303 South Main Street, Bluffton, IN 46714 2006-04-14
1306819735 Juanita E Bryan Physician Assistant 125 E Cherry St, Bluffton, IN 46714 2006-02-08
1447231832 Adams County Memorial Hospital Skilled Nursing Facility 720 E Dustman Road, Bluffton, IN 46714 2005-11-11
1720420748 Kristin Ruth Toliver Podiatrist 303 S. Main Street, Bluffton, IN 46714 2013-07-18
1780967125 Mark William Toetz Pharmacist 1975 N Main St, Bluffton, IN 46714 2011-09-22
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Taxonomy Information

Taxonomy Code 314000000X
Grouping Nursing & Custodial Care Facilities
Classification Skilled Nursing Facility

Taxonomy Definition

(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.
Notes: Source: (1) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 64; (2) AHA Guide, 1996 Annual Survey.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1265838999 Images By Susan Skilled Nursing Facility 4 Fair Hope Ln, Bluffton, SC 29910-5733 2014-11-06
1427393685 Mennonite Memorial Home Skilled Nursing Facility 101 Willow Ridge Drive, Bluffton, OH 45817-8552 2012-11-29
1841267259 Mennonite Memorial Home Skilled Nursing Facility 410 W Elm St, Bluffton, OH 45817-1122 2006-03-03
1447231832 Adams County Memorial Hospital Skilled Nursing Facility 720 E Dustman Road, Bluffton, IN 46714 2005-11-11
1336544998 Jessica L Kurpis Skilled Nursing Facility 3039 Okatie Hwy, Bluffton, SC 29909-5101 2014-10-24
1811313398 Jackson County Schneck Memorial Hospital Skilled Nursing Facility 1529 Lancaster St, Bluffton, IN 46714-1507 2014-03-08
1568791051 Nhc Healthcare-bluffton LLC Skilled Nursing Facility 3039 Okatie Hwy, Bluffton, SC 29909-5101 2009-12-14
1912959842 Bluffton Health System LLC Skilled Nursing Facility 303 S Main St, Bluffton, IN 46714-2503 2006-05-17

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1023618956 Empowerme Rehabilitation Illinois, LLC Skilled Nursing Facility 3203 E Moores Pike, Bloomington, IN 47401-7122 2020-10-29
1629698808 Decatur County Memorial Hospital Skilled Nursing Facility 6712 Restoracy Drive, Whitestown, IN 46075-0089 2020-04-17
1922586510 Aperion Care Marion LLC Skilled Nursing Facility 614 W 14th St, Marion, IN 46953-2158 2018-08-06
1427548270 Vibra Rehabilitation Hospital of Southern Indiana, LLC Skilled Nursing Facility 3104 Blackiston Boulevard, New Albany, IN 47150-9579 2018-05-17
1952812034 Blue Diamond Villas Skilled Nursing Facility 1510 Sandpiper Lane, Goshen, IN 46526 2017-10-17
1366974404 Mika Riddle Skilled Nursing Facility 407 W Walnut St, Van Buren, IN 46991 2017-03-29
1245787076 Sara Steffe Skilled Nursing Facility 1015 Virginia St, Ferdinand, IN 47532-9285 2016-09-09
1770030504 Valerie Burdette Skilled Nursing Facility 1872 E County Road 825 S, Oakland City, IN 47660-8911 2016-09-09
1205286507 Christina Basham Skilled Nursing Facility 710 Bluffview Dr, Angola, IN 46703-2206 2016-06-16
1164878583 Good Samaritan Hospital Skilled Nursing Facility 811 E. Baseline Road, Evansville, IN 47725-9340 2016-05-05
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City BLUFFTON
Zip Code 46714

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Dataset Information

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.

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