JASPER COUNTY HOSPITAL (NPI# 1811962228) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811962228 |
| Entity Type | Organization |
| Organization Name | JASPER COUNTY HOSPITAL |
| Practice Address |
1104 E Grace St Rensselaer IN 47978-3211 |
| Practice Telephone | 2198665141 |
| Practice Fax Number | 2198663234 |
| Mailing Telephone | 2198665141 |
| Mailing Fax Number | 2198663234 |
| Enumeration Date | 2006-02-20 |
| Last Update Date | 2008-04-20 |
| Authorized Official Name | MR. JEFFREY D WEBB (VICE PRESIDENT OF FINANCIAL SERVICE) |
| Authorized Official Telephone | 2198665141 |
| Authorized Official Credential | C.P.A. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282NC0060X |
General Acute Care Hospital Specialization: Critical Access |
05-005072-2 | IN | Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | BLUE CROSS ID NUMBER | 000000097884 | 01 |
| IN | 100269660A | 05 | |
| FL | 909962000 | 05 | |
| OH | 0175224 | 05 | |
| IN | 100269680A | 05 | |
| IA | 0564195 | 05 | |
| IN | 200301560E | 05 | |
| WI | 80536700 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982930483 | Jasper County Hospital | Non-Pharmacy Dispensing Site | 520 S Halleck Street, Demotte, IN 46310-8630 | 2009-10-19 |
| 1457317786 | Jasper County Hospital | Nurse Practitioner | 492 S Bierma St, Wheatfield, IN 46392 | 2006-04-25 |
| 1336306364 | Jasper County Hospital | General Acute Care Hospital | 1104 E Grace St, Rensselaer, IN 47978-3296 | 2008-05-19 |
| 1871750802 | Jasper County Hospital | General Acute Care Hospital | 1104 E Grace St, Rensselaer, IN 47978-3296 | 2008-05-19 |
| 1417029315 | Jasper County Hospital | General Acute Care Hospital | 1104 E Grace St, Rensselaer, IN 47978-3211 | 2006-11-15 |
| 1730147141 | Jasper County Hospital | Hospice Care, Community Based | 1104 E Grace St, Rensselaer, IN 47978-3211 | 2006-05-03 |
| 1902864325 | Jasper County Hospital | Non-Pharmacy Dispensing Site | 1104 E Grace St, Rensselaer, IN 47978-3211 | 2006-05-03 |
| 1801853023 | Jasper County Hospital | Home Health | 1104 E Grace St, Rensselaer, IN 47978-3211 | 2006-05-01 |
| 1114982253 | Jasper County Hospital | Nurse Practitioner | 420 E Main St, Brook, IN 47922-8715 | 2006-04-20 |
| Street Address |
1104 E GRACE ST |
| City | RENSSELAER |
| State | IN |
| Zip Code | 47978-3211 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295207603 | Nicole Sydney Krol | Registered Nurse | 1104 E Grace St, Rensselaer, IN 47978-3211 | 2018-12-24 |
| 1508232075 | Franciscan Health Rensselaer, Inc. | Medicare Defined Swing Bed Unit | 1104 E Grace St, Rensselaer, IN 47978-3211 | 2015-08-19 |
| 1255711206 | Franciscan Health Rensselaer, Inc. | General Acute Care Hospital | 1104 E Grace St, Rensselaer, IN 47978-3211 | 2015-06-04 |
| 1992185904 | Franciscan Health Rensselaer, Inc. | Hospice Care, Community Based | 1104 E Grace St, Rensselaer, IN 47978-3211 | 2015-06-04 |
| 1326428335 | Franciscan Health Rensselaer, Inc. | Home Health | 1104 E Grace St, Rensselaer, IN 47978-3211 | 2015-06-04 |
| 1932589173 | Franciscan Health Rensselaer, Inc. | General Acute Care Hospital | 1104 E Grace St, Rensselaer, IN 47978-3211 | 2015-06-03 |
| 1912305392 | Christine Nelms | Physical Therapist | 1104 E Grace St, Rensselaer, IN 47978-3211 | 2014-12-16 |
| 1972916997 | Joseph Thomas Varnau | Family Medicine | 1104 E Grace St, Rensselaer, IN 47978 | 2014-06-06 |
| 1093133910 | Cody Leo Rowland | Occupational Therapist | 1104 E Grace St, Jasper County Hospital, Rensselaer, IN 47978-3211 | 2014-03-29 |
| 1619313327 | Nuria E Rosa Mercadal | Internal Medicine | 1104 E Grace St, Rensselaer, IN 47978-3211 | 2013-05-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679710107 | Gordon P. Bausman | Dentist | 210 N. Front St., Rensselaer, IN 47978 | 2009-01-21 |
| 1669534962 | Stuart A Sandler | Family Medicine | 919 Grace Street, Rensselaer, IN 47978 | 2006-12-14 |
| 1225103146 | Jerry Lynn Markley | Chiropractor | 311 Drexel Parkway, Suite # 1, Rensellaer, IN 47978 | 2006-11-24 |
| 1538262225 | Hook Superx LLC | Durable Medical Equipment & Medical Supplies | 107 N Cullen St, Rensselaer, IN 47978 | 2006-09-07 |
| 1609477793 | Donald Lowell Rusk | Pharmacist | Walmart, 905 S College Ave, Rensselaer, IN 47978 | 2020-11-04 |
| 1235689480 | Jasper County After Hours Urgent Care Inc | Clinic/Center | 716 S College Ave, Rensselaer, IN 47978 | 2016-10-12 |
| 1407230501 | Grainne O' Malley | Internal Medicine | 118 W Drexel Pkwy, Rensselaer, IN 47978 | 2015-07-17 |
| 1104197326 | Julian Ungar-sargon Md Phd | Pain Medicine | 123 S Mckinley Ave, Rensselaer, IN 47978 | 2012-01-19 |
| 1053546226 | Mary Jo Elkins | Nurse Practitioner | 919 E Grace St, Rensselaer, IN 47978 | 2009-05-18 |
| 1932308509 | Deanna Lynn Hannon | Chiropractor | 1031 N Cullen St, Rensselaer, IN 47978-2007 | 2007-07-13 |
| Find all providers in zip 47978 | ||||
| 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 |
|---|---|---|---|---|
| 1255711206 | Franciscan Health Rensselaer, Inc. | General Acute Care Hospital | 1104 E Grace St, Rensselaer, IN 47978-3211 | 2015-06-04 |
| 1932589173 | Franciscan Health Rensselaer, Inc. | General Acute Care Hospital | 1104 E Grace St, Rensselaer, IN 47978-3211 | 2015-06-03 |
| 1336306364 | Jasper County Hospital | General Acute Care Hospital | 1104 E Grace St, Rensselaer, IN 47978-3296 | 2008-05-19 |
| 1871750802 | Jasper County Hospital | General Acute Care Hospital | 1104 E Grace St, Rensselaer, IN 47978-3296 | 2008-05-19 |
| 1417029315 | Jasper County Hospital | General Acute Care Hospital | 1104 E Grace St, Rensselaer, IN 47978-3211 | 2006-11-15 |
| 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 |
| 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 |
| 1306844519 | Union Hospital, Inc. | General Acute Care Hospital | 801 S Main St, Clinton, IN 47842-2261 | 2005-07-12 |
| Find all providers with the same taxonomy | ||||
| City | RENSSELAER |
| Zip Code | 47978 |
Please comment or provide details below to improve the information on JASPER COUNTY 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.