# ADAMS COUNTY MEMORIAL HOSPITAL

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Envive of Evansville
- **Organization subpart:** No

## Provider details

- **NPI number:** 1730177551
- **Authorized official:** MR. KYLE SPRUNGER CPA (ASSISTANT CFO)
- **Authorized official phone:** (260) 724-2145

## Contact information

- **Practice address:** 601 N BOEKE RD, EVANSVILLE, IN 47711-5925
- **Practice address phone:** (812) 476-4912
- **Practice address fax:** (812) 759-0514
- **Mailing address:** 1100 MERCER AVENUE, DECATUR, IN 46733-2303
- **Mailing address phone:** (260) 724-2145
- **Mailing address fax:** (260) 728-3852

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 13-000439-1 | IN | Yes |

## Other

- **Enumeration date:** 10/06/2005
- **Last updated:** 02/02/2024

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 100275070A | — | IN |
| 01 | — | 13-000439-1 | INDIANA STATE DEPARTMENT OF HEALTH | IN |