Organization
ADAMS COUNTY MEMORIAL HOSPITAL
Active
Other names
Envive of Evansville
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KYLE SPRUNGER CPA (ASSISTANT CFO)
(260) 724-2145
Entity
Organization
Contact information
Practice address
601 N BOEKE RD, EVANSVILLE, IN 47711-5925
(812) 476-4912
(812) 759-0514
Mailing address
1100 MERCER AVENUE, DECATUR, IN 46733-2303
(260) 724-2145
(260) 728-3852
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
13-000439-1
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100275070A
—
IN
01
—
13-000439-1
INDIANA STATE DEPARTMENT OF HEALTH
IN
Enumeration date
10/06/2005
Last updated
02/02/2024
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