# JAY COUNTY HOSPITAL

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- **Entity:** Organization
- **Status:** Active
- **Other names:** JAY COUNTY HOSPITAL PHARMACY
- **Organization subpart:** No

## Provider details

- **NPI number:** 1578590402
- **Authorized official:** DON MICHAEL (CFO)
- **Authorized official phone:** (260) 726-1818

## Contact information

- **Practice address:** 500 W VOTAW ST, PORTLAND, IN 47371-1322
- **Practice address phone:** (260) 726-7131
- **Mailing address:** 500 W VOTAW ST, PORTLAND, IN 47371-1322
- **Mailing address phone:** (260) 726-7131

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | — |
| 3336I0012X | Institutional Pharmacy | 60000354B | IN | Yes |

## Other

- **Enumeration date:** 06/27/2006
- **Last updated:** 12/31/2015

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 2024987 | PK | — |