Organization
ADAMS COUNTY MEMORIAL HOSPITAL
Active
Parent organization
ADAMS COUNTY MEMORIAL HOSPITAL
Other names
NORTHWEST MANOR HEALTH CARE CENTER
Organization subpart
Yes
Provider details
NPI number
Legal business name
ADAMS COUNTY MEMORIAL HOSPITAL
Authorized official
MR. DANE WHEELER CPA (CFO/TREASURER)
(260) 724-2145
Entity
Organization
Contact information
Practice address
6440 W 34TH ST, INDIANAPOLIS, IN 46224-1138
(317) 293-4930
(317) 554-2191
Mailing address
6440 W 34TH ST, INDIANAPOLIS, IN 46224-1138
(317) 293-4930
(317) 554-2191
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
IN000015
IN
343900000X
Non-emergency Medical Transport (VAN)
200917040A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100273750
—
IN
Enumeration date
10/11/2005
Last updated
03/06/2013
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