Organization
ADAMS COUNTY MEMORIAL HOSPITAL
Active
Other names
Wedgewood Healthcare Center
Organization subpart
No
Provider details
NPI number
Authorized official
KYLE SPRUNGER CPA (ASSISTANT TREASURER)
(260) 724-2145
Entity
Organization
Contact information
Practice address
101 POTTERS LANE, CLARKSVILLE, IN 47129-1017
(812) 948-0808
(812) 948-0889
Mailing address
1100 MERCER AVENUE, DECATUR, IN 46733-2303
(260) 724-2145
(812) 948-0889
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
10-000166-1
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000108027
ANTHEM
IN
01
—
000016609A
HUMANA
IN
05
—
100267080C
—
IN
Enumeration date
01/21/2014
Last updated
03/28/2024
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