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Organization
JASPER COUNTY HOSPITAL
Active
Organization
JASPER COUNTY HOSPITAL
Active
Other names
Jasper County Hospital Home Medical Equipment
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JEFFREY D WEBB C.P.A. (VICE PRESIDENT OF FINANCIAL SERVICE)
(219) 866-5141
Entity
Organization
Contact information
Practice address
1104 E GRACE ST, RENSSELAER, IN 47978-3211
(219) 866-5141
(219) 866-3234
Mailing address
1104 E GRACE ST, RENSSELAER, IN 47978-3211
(219) 866-5141
(219) 866-3234
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
05-005072-2
IN
332B00000X
Durable Medical Equipment & Medical Supplies
05-005072-2
IN
332BN1400X
Nursing Facility Supplies (DME)
05-005072-2
IN
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
05-005072-2
IN
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
05-005072-2
IN
335E00000X
Prosthetic/Orthotic Supplier
05-005072-2
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000097206
BLUE CROSS
IN
05
—
100143100A
—
IN
05
—
100264290A
—
IN
01
—
11821
ARNETT
IN
01
—
128886900
OFFICE OF WORKMANS COMP
IN
Enumeration date
05/03/2006
Last updated
10/29/2009
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