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
1758 W 100 S, PORTLAND, IN 47371-8204
(260) 726-7616
(260) 726-8165
Mailing address
1758 W 100 S, PORTLAND, IN 47371-8204
(260) 726-7616
(260) 726-8165
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
03/02/2010
Last updated
03/05/2010
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