# DEKALB MEMORIAL HOSPITAL, INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** DEKALB HEALTH MEDICAL GROUP-PUTMAN
- **Organization subpart:** No

## Provider details

- **NPI number:** 1538230305
- **Authorized official:** CRAIG POLKOW (CEO)
- **Authorized official phone:** (260) 925-4600

## Contact information

- **Practice address:** 1306 E 7TH ST, D, AUBURN, IN 46706-2536
- **Practice address phone:** (260) 927-0599
- **Practice address fax:** (260) 927-8756
- **Mailing address:** PO BOX 623, AUBURN, IN 46706-0623
- **Mailing address phone:** (260) 927-0599
- **Mailing address fax:** (260) 927-8756

## Taxonomy

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

## Other

- **Enumeration date:** 11/13/2006
- **Last updated:** 09/13/2016