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Organization

ADAMS COUNTY MEMORIAL HOSPITAL

Active
Parent organization
DEARBORN COUNTY HOSPITAL
Other names
Shady Nook Care Center
Organization subpart
Yes

Provider details

NPI number
Legal business name
DEARBORN COUNTY HOSPITAL
Authorized official
MR. DANE E. WHEELER CPA (CFO)
(260) 724-2145
Entity
Organization

Contact information

Practice address
36 VALLEY DR, LAWRENCEBURG, IN 47025-1084
(812) 537-0930
(812) 537-0326
Mailing address
1100 MERCER AVENUE, DECATUR, IN 46733
(260) 724-2145

Taxonomy

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

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100266810
IN
Enumeration date
03/05/2012
Last updated
01/22/2021
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