# JAY COUNTY HOSPITAL

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** JAY COUNTY HOSPITAL
- **Other names:** Jay Community Health Partners
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1114177078
- **Legal business name:** JAY COUNTY HOSPITAL
- **Authorized official:** DON MICHAEL (CFO)
- **Authorized official phone:** (260) 726-1818

## Contact information

- **Practice address:** 500 W VOTAW ST, PORTLAND, IN 47371-1322
- **Practice address phone:** (260) 726-1934
- **Practice address fax:** (260) 726-1911
- **Mailing address:** 500 W VOTAW ST, PORTLAND, IN 47371-1322
- **Mailing address phone:** (260) 726-1937
- **Mailing address fax:** (260) 726-1911

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 207R00000X | Internal Medicine Physician | — | NULL | — |
| 207R00000X | Internal Medicine Physician | — | — | — |

## Other

- **Enumeration date:** 09/26/2008
- **Last updated:** 03/19/2009