ADAMS COUNTY MEMORIAL HOSPITAL (NPI# 1760519268) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760519268 |
| Entity Type | Organization |
| Organization Name | ADAMS COUNTY MEMORIAL HOSPITAL |
| Other Organization Name | ADAMS HERITAGE |
| Practice Address |
12011 Whittern Rd Monroeville IN 46773-9126 |
| Practice Telephone | 2606236440 |
| Practice Fax Number | 2606236870 |
| Mailing Telephone | 2606236440 |
| Mailing Fax Number | 2606236870 |
| Enumeration Date | 2007-02-28 |
| Last Update Date | 2012-11-27 |
| Authorized Official Name | MR. DANE E. WHEELER (CHIEF FINANCIAL OFFICER) |
| Authorized Official Telephone | 2607242145 |
| Authorized Official Credential | CPA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 314000000X | Skilled Nursing Facility | 060025491 | IN | Nursing & Custodial Care Facilities |
| Y | 313M00000X | Nursing Facility/Intermediate Care Facility | 060025491 | IN | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 200289420A | 05 |
| Other Name | Type Code |
|---|---|
| adams Heritage | Doing Business As Name - Organization |
| 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 |
| 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 |
| 1609977628 | Adams County Memorial Hospital | Skilled Nursing Facility | 2400 College Avenue, Goshen, IN 46528 | 2006-09-25 |
| 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 |
12011 WHITTERN RD |
| City | MONROEVILLE |
| State | IN |
| Zip Code | 46773-9126 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619906401 | Monroeville Ems | Ambulance | 103 S Water St, Monroeville, IN 46773-9301 | 2006-07-02 |
| 1376875419 | Monroeville Emergency Medical Services, Inc. | Ambulance | 103 S Water St, Monroeville, IN 46773-9301 | 2010-01-30 |
| 1477923290 | Erin Hunter | Specialist/Technologist | 12504 Fackler Rd, Monroeville, IN 46773-9538 | 2015-10-06 |
| 1003271826 | Klinker Therapeutic Services LLC | Skilled Nursing Facility | 12301 Clayton Rd, Monroeville, IN 46773-9586 | 2015-12-21 |
| 1376508689 | Kenton Lee Bailey | Dentist | 506 W South St, Monroeville, IN 46773-9592 | 2006-04-19 |
| 1518958909 | Donald J. Giant | Family Medicine | 504 W South St, Monroeville, IN 46773-9592 | 2005-11-03 |
| 1144518002 | Lutheran Medical Group LLC | Durable Medical Equipment & Medical Supplies | 504 W South St, Monroeville, IN 46773-9592 | 2011-07-13 |
| 1275572505 | Brooklyn Medical Associates LLC | Durable Medical Equipment & Medical Supplies | 504 W South St, Monroeville, IN 46773-9592 | 2006-06-05 |
| 1902263932 | Erica Franz | Specialist/Technologist | 17713 S County Line Rd E, Monroeville, IN 46773-9595 | 2016-01-21 |
| 1881935070 | Healthstat On-site Clinic/amc | Preventive Medicine | 21600 Monroeville Rd, Monroeville, IN 46773-9623 | 2013-03-13 |
| Find all providers in zip 46773 | ||||
| Taxonomy Code | 313M00000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Nursing Facility/Intermediate Care Facility |
| An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals. |
| Notes: Source: Paraphrased from Section 1919 (a) of the Social Security Act. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164481826 | Englewood Health Care Center, LLC | Nursing Facility/Intermediate Care Facility | 2046 S Alabama Ave, Monroeville, AL 36460-3044 | 2006-03-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871040659 | Stephanie Hentrup | Nursing Facility/Intermediate Care Facility | 621 E 20th St, Ferdinand, IN 47532-9220 | 2016-09-08 |
| 1912354630 | Denise Chambery | Nursing Facility/Intermediate Care Facility | 5707 W 122nd Pl, Crown Point, IN 46307-8778 | 2016-05-23 |
| 1124494760 | Maplemanor Christian Home, Inc. | Nursing Facility/Intermediate Care Facility | 643 W Utica St, Sellersburg, IN 47172-1163 | 2015-08-18 |
| 1174868822 | Daviess County Hospital | Nursing Facility/Intermediate Care Facility | 120 East Miller Drive, Bloomington, IN 47407-6538 | 2012-12-06 |
| 1134493281 | Adams County Memorial Hospital | Nursing Facility/Intermediate Care Facility | 9802 Coldwater Road, Fort Wayne, IN 46825 | 2012-03-06 |
| 1447481049 | Larry Wayne Sims | Nursing Facility/Intermediate Care Facility | 1236 Lincoln Ave, Evansville, IN 47714-1056 | 2009-07-30 |
| 1720253313 | Davis Elderly Care, LLC | Nursing Facility/Intermediate Care Facility | 5139 S Hanover Saluda Rd, Hanover, IN 47243-9212 | 2008-04-24 |
| 1750585766 | Gosport Care, Inc. | Nursing Facility/Intermediate Care Facility | 27 S. 7th St., Gosport, IN 47433-0099 | 2007-06-13 |
| 1790986792 | Evansville Protestant Home Inc. | Nursing Facility/Intermediate Care Facility | 3701 Washington Ave, Evansville, IN 47714-0544 | 2007-05-29 |
| 1881816148 | Pulaski Memorial Hospital | Nursing Facility/Intermediate Care Facility | 505 North Gavin Street, Muncie, IN 47303 | 2007-05-03 |
| Find all providers with the same taxonomy | ||||
| City | MONROEVILLE |
| Zip Code | 46773 |
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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.