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Contact Information

DECATUR COUNTY MEMORIAL HOSPITAL
18325 BAILEY AVE
SOUTH BEND, IN46637
 Phone: 574-272-2602
 Fax: 574-272-2608
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Skilled Nursing Facility

314000000X A1[8] Skilled Nursing Facility
 

Alzheimer Center /Dementia Center/Dementia Special Care Unit

311500000X
Indicates primary specialty

NPI Profile & details for DECATUR COUNTY MEMORIAL HOSPITAL

NPI # 1164599304
LBN Legal business name DECATUR COUNTY MEMORIAL HOSPITAL
Authorized official LINDA SIMMONS - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 11/30/2006
Last updated 05/11/2016 - About 10 years ago
Identifiers
IN License # 11-004732-1
IN License # 14003759
IN License # 15-0047321-1
IN Medicaid 200808300A
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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