Organization
ADAMS COUNTY MEMORIAL HOSPITAL
Active
Parent organization
ADAMS COUNTY MEMORIAL HOSPITAL
Other names
Colonial Nursing Home
Organization subpart
Yes
Provider details
NPI number
Legal business name
ADAMS COUNTY MEMORIAL HOSPITAL
Authorized official
MR. DANE WHEELER CPA (CFO)
(260) 724-2145
Entity
Organization
Contact information
Practice address
119 N INDIANA AVE, CROWN POINT, IN 46307-4112
(219) 663-2532
(219) 662-0714
Mailing address
1100 MERCER AVE, PO BOX 151, DECATUR, IN 46733-2303
(260) 724-2145
(260) 728-3852
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
060003601
IN
314000000X
Skilled Nursing Facility
Primary
060003601
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100290370B
—
IN
Enumeration date
09/07/2006
Last updated
05/08/2013
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