# JAY COUNTY HOSPITAL

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1619290897
- **Authorized official:** DON MICHAEL (CFO)
- **Authorized official phone:** (260) 726-1818

## Contact information

- **Practice address:** 1758 W 100 S, PORTLAND, IN 47371-8204
- **Practice address phone:** (260) 726-7616
- **Practice address fax:** (260) 726-8165
- **Mailing address:** 1758 W 100 S, PORTLAND, IN 47371-8204
- **Mailing address phone:** (260) 726-7616
- **Mailing address fax:** (260) 726-8165

## Taxonomy

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

## Other

- **Enumeration date:** 03/02/2010
- **Last updated:** 03/05/2010