Organization Name: | MARY SHERMAN HOSPITAL |
NPI Number: | 1184888000 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | CHERYL K. BALLARD (DIRECTOR) |
Mailing Address: | 817 North Section Street Suite A Sullivan |
State: | IN US |
Postal Code: | 47882 |
Phone Number: | 8122684311 |
Fax Number: | 8122682654 |
NPI Enumeration Date: | 07/10/2008 |
NPI Last Update Date: | 07/15/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 251G00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Agencies |
Taxonomy Classification: | Hospice Care, Community Based |
Taxonomy Specialization: | |
Taxonomy Definition: |