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WASHINGTON COUNTY MEMORIAL HOSPITAL NPI 1124062419


NPI Information

NPI: 1124062419
Provider Name: WASHINGTON COUNTY MEMORIAL HOSPITAL
Classification: General Acute Care Hospital - 282NC0060X
Entity Type: Organization

Specialization: Critical Access

CLIA Number: 15D0673235

Address:
911 N. SHELBY ST.
SALEM, IN
ZIP 47167
Phone: (812) 883-5881
Get Directions

WASHINGTON COUNTY MEMORIAL HOSPITAL is a critical access general acute care hospital in Salem, IN. WASHINGTON COUNTY MEMORIAL HOSPITAL NPI is 1124062419. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

911 N. SHELBY ST.
SALEM, IN
ZIP 47167-304
Phone: (812) 883-5881
Fax: (812) 883-8557

The provider's authorized official is Joe Roche .
The authorized official title is Ceo and has the following contact phone number 81288635881.

The CLIA number assigned to this NPI record is 15D0673235 - other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/16/2006 and was last updated on 7/22/2009.


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
1207L00000XAnesthesiologyNo
2207P00000XEmergency MedicineNo
3207Q00000XFamily MedicineNo
4207V00000XObstetrics & GynecologyNo
5207X00000XOrthopaedic SurgeryNo
62085R0202XRadiologyDiagnostic RadiologyNo
7208VP0000XPain MedicinePain MedicineNo
8275N00000XMedicare Defined Swing Bed UnitNo
9282NC0060XGeneral Acute Care HospitalCritical Access0050871INDIANANo
103416L0300XAmbulanceLand TransportNo
11363L00000XNurse PractitionerNo
12282NC0060XGeneral Acute Care HospitalCritical Access07-005087-1INDIANAYes

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
1000000054337OTHERINDIANABLUE CROSS PROVIDER #
2030969400OTHERINDIANAFEDERAL BLACK LUNG
3200009980FMEDICAIDINDIANA
4200009980BMEDICAIDINDIANA
515Z314MEDICARE OSCAR/CERTIFICATIONINDIANA
6151314MEDICARE PIN
7940950OTHERINDIANAMEDICARE PART B
8100367960AMEDICAIDINDIANA
9200009980GMEDICAIDINDIANA
10200009980AMEDICAIDINDIANA
1115M314MEDICARE OSCAR/CERTIFICATIONINDIANA
12100269720AMEDICAIDINDIANA
13200009980EMEDICAIDINDIANA
14151314MEDICARE ID-TYPE UNSPECIFIEDINDIANAMEDICARE PROVIDER #
15100269720MEDICAIDINDIANA
16200009980CMEDICAIDINDIANA
17200009980DMEDICAIDINDIANA

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
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All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

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