| Organization Name: | MEMORIAL HOSPITAL |
| NPI Number: | 1154301661 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | DAVID AMEEN (PRESIDENT/CEO) |
| Mailing Address: | 1101 Michigan Ave Logansport |
| State: | IN US |
| Postal Code: | 469471528 |
| Phone Number: | 5747531502 |
| Fax Number: | |
| NPI Enumeration Date: | 01/19/2006 |
| NPI Last Update Date: | 10/19/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 3416L0300X |
| License Number: | 050050661 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IN |
| Taxonomy Type: | Transportation Services |
| Taxonomy Classification: | Ambulance |
| Taxonomy Specialization: | Land Transport |
| Taxonomy Definition: | |