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Organization
ADAMS COUNTY MEMORIAL HOSPITAL
Active
Organization
ADAMS COUNTY MEMORIAL HOSPITAL
Active
Other names
Sacred Heart Village
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DANE WHEELER CPA (CFO)
(260) 724-2145
Entity
Organization
Contact information
Practice address
515 N MAIN ST, AVILLA, IN 46710-9601
(260) 987-2841
(260) 897-3724
Mailing address
1100 MERCER AVE, DECATUR, IN 46733-2303
(260) 724-2145
(260) 728-3852
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100290810
—
IN
Enumeration date
09/23/2005
Last updated
11/25/2020
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