Organization
DEKALB MEMORIAL HOSPITAL, INC
Active
Other names
DEKALB HEALTH MEDICAL GROUP-GARRETT
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
128 N RANDOLPH ST, GARRETT, IN 46738-1138
(260) 357-6557
(260) 357-0373
Mailing address
PO BOX 623, AUBURN, IN 46706-0623
(260) 357-6557
(260) 357-0373
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100104110E
—
IN
01
—
CC4531
RAILROAD MEDICARE
IN
Enumeration date
11/13/2006
Last updated
01/12/2012
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