Organization
JAY COUNTY HOSPITAL
Active
Organization
JAY COUNTY HOSPITAL
Active
Other names
LifeBridge
Organization subpart
No
Provider details
NPI number
Authorized official
LYNN HAMPSON (PATIENT INFORMATION SERVICES COORDI)
(260) 726-1812
Entity
Organization
Contact information
Practice address
500 W VOTAW ST, PORTLAND, IN 47371-1322
(260) 726-7131
(260) 726-1976
Mailing address
500 W VOTAW ST, PORTLAND, IN 47371-1322
(260) 726-7131
(260) 726-1976
Taxonomy
Speciality
Code
Description
License number
State
273R00000X
Psychiatric Hospital Unit
Primary
005029
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100269610B
—
IN
Enumeration date
02/10/2006
Last updated
11/24/2008
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