Organization
DECATUR COUNTY MEMORIAL HOSPITAL
Active
Other names
Westport Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
CATHERINE KECK (CFO)
(812) 663-1172
Entity
Organization
Contact information
Practice address
308 E MULBERRY ST, WESTPORT, IN 47283-9369
(812) 222-3627
(812) 663-1155
Mailing address
308 E MULBERRY ST, WESTPORT, IN 47283-9369
(812) 222-3627
(812) 663-1155
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200220600B
—
IN
Enumeration date
07/07/2005
Last updated
02/09/2021
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