JASPER COUNTY HOSPITAL NPI 1811962228

NPI Information

NPI: 1811962228
Provider Name: JASPER COUNTY HOSPITAL
Classification: General Acute Care Hospital - 282NC0060X
Entity Type: Organization

Specialization: Critical Access

Address:
1104 E GRACE ST
RENSSELAER, IN
ZIP 47978
Phone: (219) 866-5141
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JASPER COUNTY HOSPITAL is a critical access general acute care hospital in Rensselaer, IN. JASPER COUNTY HOSPITAL NPI is 1811962228. The provider is registered as an organization entity type.

The provider's business location address is:

1104 E GRACE ST
RENSSELAER, IN
ZIP 47978-211
Phone: (219) 866-5141
Fax: (219) 866-3234

The provider's authorized official is Jeffrey D Webb .
The authorized official title is Vice President Of Financial Service and has the following contact phone number (219) 866-5141.

The enumeration date for this NPI number is 2/20/2006 and was last updated on 4/20/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	282NC0060X	General Acute Care Hospital	Critical Access	05-005072-2	INDIANA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	000000097884	OTHER	INDIANA	BLUE CROSS ID NUMBER
2	=========050	MEDICAID	INDIANA
3	=========001	MEDICAID	ILLINOIS
4	=========	OTHER	INDIANA	TAX ID - COMMERCIAL ID NU
5	100269680A	MEDICAID	INDIANA
6	100269660A	MEDICAID	INDIANA
7	80536700	MEDICAID	WISCONSIN
8	909962000	MEDICAID	FLORIDA
9	0564195	MEDICAID	IOWA
10	0175224	MEDICAID	OHIO
11	=========02	OTHER	INDIANA	TRICARE ID NUMBER
12	CJ9676	MEDICARE ID-TYPE UNSPECIFIED	INDIANA	MEDICARE RR ID NUMBER
13	200301560E	MEDICAID	INDIANA
14	151324	MEDICARE OSCAR/CERTIFICATION	INDIANA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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