Organization
ADAMS COUNTY MEMORIAL HOSPITAL
Active
Parent organization
ADAMS COUNTY MEMORIAL HOSPITAL
Other names
Cloverleaf of Knightsville
Organization subpart
Yes
Provider details
NPI number
Legal business name
ADAMS COUNTY MEMORIAL HOSPITAL
Authorized official
MR. DANE WHEELER CPA (CFO/TREASURER)
(260) 724-2145
Entity
Organization
Contact information
Practice address
9325 N. CRAWFORD STREEET, KNIGHTSVILLE, IN 47857-0170
(812) 446-2309
(812) 448-3733
Mailing address
1100 MERCER AVE, DECATUR, IN 46733
(260) 724-2145
(260) 728-3852
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
06-000296-1
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100467820D
—
IN
Enumeration date
10/20/2006
Last updated
04/16/2013
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