# IROQUOIS MEMORIAL HOSPITAL AND RESIDENT HOME

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- **Entity:** Organization
- **Status:** Active
- **Other names:** IMH Kentland Clinic
- **Organization subpart:** No

## Provider details

- **NPI number:** 1467470906
- **Authorized official:** TIMOTHY L SMITH (COO)
- **Authorized official phone:** 81584327967

## Contact information

- **Practice address:** 303 N 7TH ST, KENTLAND, IN 47951-1379
- **Practice address phone:** (219) 474-5464
- **Practice address fax:** (219) 474-3603
- **Mailing address:** 303 N 7TH ST, KENTLAND, IN 47951-1379
- **Mailing address phone:** (219) 474-5464
- **Mailing address fax:** (219) 474-3603

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR1300X | Rural Health Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 07/17/2006
- **Last updated:** 01/17/2017