Organization Name: | DECATUR COUNTY MEMORIAL HOSPITAL |
NPI Number: | 1619193505 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | LINDA S. SIMMONS (CEO/PRESIDENT) |
Mailing Address: | 720 N Lincoln St Greensburg |
State: | IN US |
Postal Code: | 472401327 |
Phone Number: | 8126631170 |
Fax Number: | 8126639738 |
NPI Enumeration Date: | 04/18/2007 |
NPI Last Update Date: | 06/28/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 005057-1 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IN |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |