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Organization
ADAMS COUNTY MEMORIAL HOSPITAL
Active
Organization
ADAMS COUNTY MEMORIAL HOSPITAL
Active
Other names
Wedgewood Healthcare Center
Organization subpart
No
Provider details
NPI number
Authorized official
KYLE SPRUNGER CPA (ASSISTANT TREASURER)
(260) 724-2145
Entity
Organization
Contact information
Practice address
101 POTTERS LANE, CLARKSVILLE, IN 47129-1017
(812) 948-0808
(812) 948-0889
Mailing address
1100 MERCER AVENUE, DECATUR, IN 46733-2303
(260) 724-2145
(812) 948-0889
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
10-000166-1
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000108027
ANTHEM
IN
01
—
000016609A
HUMANA
IN
05
—
100267080C
—
IN
Enumeration date
01/21/2014
Last updated
03/28/2024
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