Organization
JASPER COUNTY HOSPITAL
Active
Parent organization
JASPER COUNTY HOSPITAL
Other names
Jasper County Hospital Anesthesia
Organization subpart
Yes
Provider details
NPI number
Legal business name
JASPER COUNTY HOSPITAL
Authorized official
MR. JEFFREY D WEBB C.P.A. (VICE PRESIDENT OF FINANCIAL SERVICE)
(219) 866-5141
Entity
Organization
Contact information
Practice address
1104 E GRACE ST, RENSSELAER, IN 47978-3211
(219) 866-5141
(219) 866-3234
Mailing address
1104 E GRACE ST, RENSSELAER, IN 47978-3211
(219) 866-5141
(219) 866-3234
Taxonomy
Speciality
Code
Description
License number
State
282NC0060X
Critical Access Hospital
Primary
05-005072-2
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000297276
BLUE CROSS
IN
05
—
100269680A
—
IN
Enumeration date
11/15/2006
Last updated
11/06/2008
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