Organization Name: | FRANCISCAN HEALTHCARE - JASPER COUNTY INDIANA INC |
NPI Number: | 1255711206 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | TERRANCE WILSON (PRESIDENT/CEO) |
Mailing Address: | 1104 E Grace St Rensselaer |
State: | IN US |
Postal Code: | 479783211 |
Phone Number: | 2198665141 |
Fax Number: | |
NPI Enumeration Date: | 06/04/2015 |
NPI Last Update Date: | 06/04/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 282NC0060X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Hospitals |
Taxonomy Classification: | General Acute Care Hospital |
Taxonomy Specialization: | Critical Access |
Taxonomy Definition: |