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Organization

DEKALB MEMORIAL HOSPITAL

Active
Other names
DEKALB MEDICAL SERVICES-ADULT
Organization subpart
No

Provider details

NPI number
Authorized official
MS. PENNY LYNN GRIFFIN CPC (BILLING COLLECTION MANAGER)
(260) 920-2794
Entity
Organization

Contact information

Practice address
1310 E 7TH ST, F, AUBURN, IN 46706-2534
(260) 925-4051
(260) 925-9278
Mailing address
PO BOX 623, AUBURN, IN 46706-0623
(260) 925-4051
(260) 925-9278

Taxonomy

Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0445400001
OH
05
100104110C
IN
01
CC4531
RAILROAD MEDICARE
IN
Enumeration date
11/13/2006
Last updated
05/05/2008
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