Organization
JAY COUNTY HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DON MICHAEL (CFO)
(260) 726-1818
Entity
Organization
Contact information
Practice address
500 W VOTAW ST, PORTLAND, IN 47371-1322
(260) 726-7131
(260) 726-1975
Mailing address
500 W VOTAW ST, PORTLAND, IN 47371-1322
(260) 726-7131
(260) 726-1975
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
—
—
207P00000X
Emergency Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100269620
—
IN
Enumeration date
09/11/2008
Last updated
05/02/2017
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