# MEMORIAL HOSPITAL

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Parent organization:** MEMORIAL HOSPITAL
- **Other names:** Ambulance
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1154301661
- **Legal business name:** MEMORIAL HOSPITAL
- **Authorized official:** TARA MCVAY (PRESIDENT/CEO)
- **Authorized official phone:** (574) 753-1385

## Contact information

- **Practice address:** 1101 MICHIGAN AVE, LOGANSPORT, IN 46947-1528
- **Practice address phone:** (574) 753-1502
- **Mailing address:** 1101 MICHIGAN AVE, LOGANSPORT, IN 46947-1528
- **Mailing address phone:** (574) 753-1502

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 341600000X | Ambulance | — | — | Yes |

## Other

- **Enumeration date:** 01/19/2006
- **Last updated:** 09/02/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 100453840A | — | IN |