Organization
ADAMS COUNTY MEMORIAL HOSPITAL
Active
Other names
Oak Village
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DANE E. WHEELER CPA (CFO)
(260) 724-2145
Entity
Organization
Contact information
Practice address
200 WEST FOURTH DTREET, OAKTOWN, IN 47561-8081
(812) 745-2360
Mailing address
1100 MERCER AVENUE, DECATUR, IN 46733
(260) 724-2145
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
06-000517-1
IN
314000000X
Skilled Nursing Facility
Primary
13-000517-1
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000304243
BLUE CROSS BLUE SHIELD
IN
05
—
100266770 A
—
IN
Enumeration date
01/29/2007
Last updated
05/15/2018
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