# ADAMS COUNTY 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
- **Other names:** Sacred Heart Village
- **Organization subpart:** No

## Provider details

- **NPI number:** 1386630416
- **Authorized official:** MR. DANE WHEELER CPA (CFO)
- **Authorized official phone:** (260) 724-2145

## Contact information

- **Practice address:** 515 N MAIN ST, AVILLA, IN 46710-9601
- **Practice address phone:** (260) 987-2841
- **Practice address fax:** (260) 897-3724
- **Mailing address:** 1100 MERCER AVE, DECATUR, IN 46733-2303
- **Mailing address phone:** (260) 724-2145
- **Mailing address fax:** (260) 728-3852

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | — | IL | Yes |

## Other

- **Enumeration date:** 09/23/2005
- **Last updated:** 11/25/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 100290810 | — | IN |