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Organization

WASHINGTON COUNTY MEMORIAL HOSPITAL

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JOE ROCHE (CEO)
81288635881
Entity
Organization

Contact information

Practice address
911 N. SHELBY ST., SALEM, IN 47167-2304
(812) 883-5881
(812) 883-8557
Mailing address
911 N. SHELBY ST., SALEM, IN 47167-2304
(812) 883-5881
(812) 883-8557

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
207P00000X
Emergency Medicine Physician
207Q00000X
Family Medicine Physician
207V00000X
Obstetrics & Gynecology Physician
207X00000X
Orthopaedic Surgery Physician
2085R0202X
Diagnostic Radiology Physician
208VP0000X
Pain Medicine Physician
275N00000X
Medicare Defined Swing Bed Hospital Unit
282NC0060X
Critical Access Hospital
0050871
IN
282NC0060X
Critical Access Hospital
Primary
07-005087-1
IN
3416L0300X
Land Ambulance
363L00000X
Nurse Practitioner

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000054337
BLUE CROSS PROVIDER #
IN
01
030969400
FEDERAL BLACK LUNG
IN
05
100269720
IN
05
100269720A
IN
05
100367960A
IN
05
200009980A
IN
05
200009980B
IN
05
200009980C
IN
05
200009980D
IN
05
200009980E
IN
05
200009980F
IN
05
200009980G
IN
01
940950
MEDICARE PART B
IN
Enumeration date
06/16/2006
Last updated
07/22/2009
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