ADAMS COUNTY MEMORIAL HOSPITAL (NPI# 1689696148) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689696148 |
| Entity Type | Organization |
| Organization Name | ADAMS COUNTY MEMORIAL HOSPITAL |
| Practice Address |
1100 Mercer Ave Decatur IN 46733-2303 |
| Mailing Address |
1100 Mercer Avenue P.o. Box 151 Decatur IN 46733 |
| Practice Telephone | 2607242145 |
| Practice Fax Number | 2607283867 |
| Mailing Telephone | 2607242145 |
| Mailing Fax Number | 2607283867 |
| Enumeration Date | 2006-07-24 |
| Last Update Date | 2017-10-11 |
| Authorized Official Name | DANE WHEELER (CFO) |
| Authorized Official Telephone | 2607242145 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities | ||
| N | 261QP2300X |
Clinic/Center Specialization: Primary Care |
Ambulatory Health Care Facilities | ||
| N | 261QU0200X |
Clinic/Center Specialization: Urgent Care |
Ambulatory Health Care Facilities | ||
| N | 275N00000X | Medicare Defined Swing Bed Unit | Hospital Units | ||
| N | 3416L0300X |
Ambulance Specialization: Land Transport |
IN | Transportation Services | |
| N | 343900000X | Non-emergency Medical Transport (VAN) | Transportation Services | ||
| Y | 282NC0060X |
General Acute Care Hospital Specialization: Critical Access |
060047471 | IN | Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 100146660A | 05 | |
| IN | 100268270A | 05 | |
| IN | BLUE CROSS | 000000097902 | 01 |
| 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 |
| 1366531907 | Adams County Memorial Hospital | Assisted Living Facility | 400 Caylor Boulevard, Bluffton, IN 46714-8805 | 2006-10-12 |
| 1821185356 | Adams County Memorial Hospital | Skilled Nursing Facility | 17475 Dugdale Dr, South Bend, IN 46635-1545 | 2006-10-06 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | ADAMS COUNTY MEMORIAL HOSPITAL | 1100 Mercer Ave, Decatur, IN 46733-2303 |
| Street Address |
1100 MERCER AVE |
| City | DECATUR |
| State | IN |
| Zip Code | 46733-2303 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710989710 | Haven Dove | Nurse Anesthetist, Certified Registered | 1100 Mercer Ave, Decatur, IN 46733-2303 | 2005-08-10 |
| 1699390179 | Tracey Ann Pruden | Registered Nurse | 1100 Mercer Ave, Decatur, IN 46733-2303 | 2020-06-10 |
| 1649820366 | Katie Fralick | Physician Assistant | 1100 Mercer Ave, Decatur, IN 46733-2303 | 2019-09-14 |
| 1720648686 | Tina Blowers | Nurse Practitioner | 1100 Mercer Ave, Decatur, IN 46733-2303 | 2019-06-13 |
| 1730680372 | Joshua J Fullenkamp | Registered Nurse | 1100 Mercer Ave, Decatur, IN 46733-2303 | 2018-02-27 |
| 1376043752 | Adams County Memorial Hospital | Clinic/Center | 1100 Mercer Ave, Decatur, IN 46733 | 2018-02-13 |
| 1013424035 | Valorie Clouse | Registered Nurse | 1100 Mercer Ave, Decatur, IN 46733-2303 | 2017-12-29 |
| 1114430378 | Baldemar Silva | Social Worker | 1100 Mercer Ave, Decatur, IN 46733-2303 | 2017-11-09 |
| 1932618956 | Adams County Memorial Hospital | Clinic/Center | 1100 Mercer Ave, Decatur, IN 46733-2303 | 2017-09-21 |
| 1467970335 | Sarah A Kuehnert | Dietitian, Registered | 1100 Mercer Ave, Decatur, IN 46733-2303 | 2017-08-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659742617 | Adams County Auditor | Public Health or Welfare | 313 W. Jefferson St., Room # 320, Decatur, IN 46733 | 2015-10-15 |
| 1184908386 | Logan D Anderson | Pharmacist | 123 N. 13th St, Decatur, IN 46733 | 2011-10-06 |
| 1992091797 | Leah D Keller | Social Worker | 815 High St Ste C, Decatur, IN 46733 | 2011-06-21 |
| 1144559493 | Preble Volunteer Firefighting Association, Inc. | Ambulance | 6242 N 400 W, Decatur, IN 46733 | 2009-12-16 |
| 1689703530 | Blake A Taylor | Dentist | 234 N First St, Decatur, IN 46733 | 2007-03-05 |
| 1124163563 | Decatur Dental Services,, Inc. | Dentist | Decatur, 6496 N Piqua Road, Decatur, IN 46733 | 2007-02-21 |
| 1215002597 | Kelly S Ulman | Dentist | 6496 N Piqua Rd, Decatur, IN 46733 | 2006-11-21 |
| 1841362712 | James E Taylor Dds and Associates Family Dentistry | Dentist | 234 N 1st St, Decatur, IN 46733 | 2006-11-15 |
| 1598844946 | Michael Alan Harshman | Optometrist | 815 South 13th St., Decatur, IN 46733 | 2006-11-06 |
| 1184908220 | Carla D Springer | Pharmacist | 123 N 13th St, Decatur, IN 46733 | 2011-10-07 |
| Find all providers in zip 46733 | ||||
| Taxonomy Code | 282NC0060X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| Specialization | Critical Access |
| Definition to come. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073691531 | Adams County Memorial Hospital | General Acute Care Hospital | 1100 Mercer Ave, Decatur, IN 46733-2303 | 2006-11-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871973032 | Franciscan Health Rensselaer, Inc. | General Acute Care Hospital | 4109 W State Road 10, Wheatfield, IN 46392-7008 | 2015-06-03 |
| 1831331800 | Richard L. Roudebush Va Medical Center | General Acute Care Hospital | 1816 Larkfield Ct Apt 563, Indianapolis, IN 46260-2562 | 2009-04-06 |
| 1104062462 | Advocate Illinois Masonic Medical Center | General Acute Care Hospital | 3632 Wirth Rd, Highland, IN 46322-2218 | 2008-12-16 |
| 1366528820 | Dannielle Christine Gilyan | General Acute Care Hospital | 2445 Directors Row Ste C, Indianapolis, IN 46241-4936 | 2006-10-27 |
| 1568417004 | Community Hospital of Bremen, Inc | General Acute Care Hospital | 1020 High Road, Bremen, IN 46506 | 2006-05-23 |
| 1811962228 | Jasper County Hospital | General Acute Care Hospital | 1104 E Grace St, Rensselaer, IN 47978-3211 | 2006-02-20 |
| 1154396604 | Scott County Memorial Hospital | General Acute Care Hospital | 1451 N Gardner St, Scottsburg, IN 47170-7751 | 2006-02-20 |
| 1871574822 | Indiana University Health Blackford Hospital Inc | General Acute Care Hospital | 410 Pilgrim Blvd, Hartford City, IN 47348-1382 | 2005-11-08 |
| 1548260284 | Indiana University Health Bedford, Inc | General Acute Care Hospital | 2900 W. 16th St, Bedford, IN 47421-3510 | 2005-07-22 |
| 1952300477 | Decatur County Memorial Hospital | General Acute Care Hospital | 720 N. Lincoln St, Greensburg, IN 47240-1398 | 2005-07-18 |
| Find all providers with the same taxonomy | ||||
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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.