IROQUOIS MEMORIAL HOSPITAL AND RESIDENT HOME; NPI #1467470906

Contact Information

IROQUOIS MEMORIAL HOSPITAL AND RESIDENT HOME

303 N 7TH ST
KENTLAND, IN 47951-1379

Phone: 219-474-5464
Fax: 219-474-3603
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Rural Health	261QR1300X	B4[14]	Rural Health Clinic

Indicates primary specialty

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NPI Profile & details for IROQUOIS MEMORIAL HOSPITAL AND RESIDENT HOME

NPI Number 1467470906

LBN Legal business name IROQUOIS MEMORIAL HOSPITAL AND RESIDENT HOME

Authorized official TIMOTHY SMITH - (COO)

Entity Organization

Organization subpart ¹ No

Enumeration date 07/17/2006

Last updated 01/17/2017 - About 9 years ago

Identifiers

IN	Medicaid	200133940A
IL	Other	0003815082	BLUE CROSS BLUE SHIELD

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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