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Organization

ADAMS COUNTY MEMORIAL HOSPITAL

Active
Other names
BRECKENRIDGE HEALTH & REHABILITATION, Envive of Sullivan
Organization subpart
No

Provider details

NPI number
Authorized official
MR. DANE E WHEELER CPA (CFO)
(260) 724-2145
Entity
Organization

Contact information

Practice address
325 WEST NORTHWOOD DRIVE, SULLIVAN, IN 47882-7515
(812) 268-3351
(812) 268-3765
Mailing address
1100 MERCER AVENUE, DECATUR, IN 46733-2303
(260) 724-2145
(317) 818-1762

Taxonomy

Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
110005251
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100267010B
IN
Enumeration date
01/10/2008
Last updated
08/15/2022
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