Organization
JASPER COUNTY HOSPITAL
Active
Other names
Brook Health Centre
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY D WEBB (VP FINANCIAL SERVICES)
(219) 866-5141
Entity
Organization
Contact information
Practice address
420 E MAIN ST, BROOK, IN 47922-8715
(219) 275-2521
(219) 275-9342
Mailing address
1104 E GRACE ST, RENSSELAER, IN 47978-3211
(219) 866-5141
(219) 866-3234
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
71000809A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100187080A
—
IN
Enumeration date
04/20/2006
Last updated
06/16/2015
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