Organization
DEKALB MEMORIAL HOSPITAL, INC
Active
Other names
Dekalb Health Medical Group
Organization subpart
No
Provider details
NPI number
Authorized official
MS. PENNY LYNN GRIFFIN (BILLING COLLECTION MANAGER)
(260) 920-2794
Entity
Organization
Contact information
Practice address
1314 E 7TH ST, 203, AUBURN, IN 46706-2535
(260) 925-5511
(260) 925-8353
Mailing address
PO BOX 623, AUBURN, IN 46706-0623
(260) 925-5511
(260) 925-8353
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100104110A
—
IN
05
—
2463909
—
OH
01
—
CC4531
RAILROAD MEDICARE
IN
Enumeration date
01/25/2006
Last updated
11/18/2019
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