National Provider Identifier Database

IROQUOIS MEMORIAL HOSPITAL AND RESIDENT HOME
Rural Health


Contact Information

IROQUOIS MEMORIAL HOSPITAL AND RESIDENT HOME
303 N 7TH ST
KENTLAND, IN47951-1379
Phone: 219-474-5464
Fax: 219-474-3603
Website:
Specialty Taxonomy Code
* Rural Health 261QR1300X

* Indicates primary specialty

NPI Profile & details for IROQUOIS MEMORIAL HOSPITAL AND RESIDENT HOME

NPI Number 1467470906
Legal business name
LBN
IROQUOIS MEMORIAL HOSPITAL AND RESIDENT HOME
Authorized official TIMOTHY SMITH - (COO)
Entity Organization
Organization subpart No
Enumeration date 07/17/2006
Last updated 01/17/2017 - About 9 years ago
Sole proprietor1 Not specified
Identifiers
  • IN Medicaid: 200133940A
  • IL Other: 0003815082 BLUE CROSS BLUE SHIELD

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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