Organization
DEKALB MEMORIAL HOSPITAL, INC
Active
Other names
DEKALB HEALTH MEDICAL GROUP-SURGERY
Organization subpart
No
Provider details
NPI number
Authorized official
PENNY LYNN GRIFFIN CPC (BILLING/COLLECTION MANAGER)
(260) 920-2794
Entity
Organization
Contact information
Practice address
1316 E 7TH ST, SUITE 1, AUBURN, IN 46706-2538
(260) 925-3045
(260) 925-3147
Mailing address
PO BOX 623, AUBURN, IN 46706-0623
(260) 927-8105
(260) 927-8026
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100104110
—
IN
Enumeration date
12/03/2012
Last updated
12/03/2012
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