# DEKALB MEMORIAL HOSPITAL, INC

> 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
- **Other names:** DEKALB HEALTH MEDICAL GROUP-FAMILY PRACTICE ASSOCIATES
- **Organization subpart:** No

## Provider details

- **NPI number:** 1366722415
- **Authorized official:** CRAIG POLKOW (CEO)
- **Authorized official phone:** (260) 925-4600

## Contact information

- **Practice address:** 1314 E 7TH ST, SUITE 101, AUBURN, IN 46706-2535
- **Practice address phone:** (260) 925-0403
- **Practice address fax:** (260) 925-9545
- **Mailing address:** PO BOX 623, AUBURN, IN 46706-0623
- **Mailing address phone:** (260) 920-2794
- **Mailing address fax:** (260) 927-8026

## Taxonomy

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

## Other

- **Enumeration date:** 08/22/2011
- **Last updated:** 09/13/2016