# GREENE COUNTY GENERAL HOSPITAL

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Serenity Spring Senior Living at Northwood
- **Organization subpart:** No

## Provider details

- **NPI number:** 1922098607
- **Authorized official:** BRENDA REETZ (CEO)
- **Authorized official phone:** (812) 847-5212

## Contact information

- **Practice address:** 2515 NEWTON ST, JASPER, IN 47547-1047
- **Practice address phone:** (812) 482-1722
- **Practice address fax:** (812) 634-2793
- **Mailing address:** 1185 N 1000 W, LINTON, IN 47441-5282
- **Mailing address phone:** (812) 847-2281

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | — | — | Yes |
| 332BN1400X | Nursing Facility Supplies (DME) | — | — | — |
| 332BP3500X | Parenteral & Enteral Nutrition Supplies (DME) | — | — | — |

## Other

- **Enumeration date:** 10/25/2005
- **Last updated:** 07/25/2024

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 100274190A | — | IN |